Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,900.20 / $3,696.67 / $5,170.81	Facility		$1,900.20	$3,696.67	$5,170.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.13 / $1,463.16 / $1,843.20	Professional		$1,254.13	$1,463.16	$1,843.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.23 / $2,280.23 / $2,280.23	Facility		$2,280.23	$2,280.23	$2,280.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,470.26 / $3,451.35 / $4,314.18	Professional		$2,470.26	$3,451.35	$4,314.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.17 / $2,565.27 / $3,439.36	Professional		$1,615.17	$2,565.27	$3,439.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,463.16 / $2,470.26 / $8,448.67	Facility		$1,463.16	$2,470.26	$8,448.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,140.11 / $1,140.11 / $7,627.78	Professional		$1,140.11	$1,140.11	$7,627.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,280.23 / $2,470.26 / $8,448.67	Facility		$2,280.23	$2,470.26	$8,448.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,280.23 / $2,470.26 / $8,448.67	Professional		$2,280.23	$2,470.26	$8,448.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $1,900.20 / $3,391.86	Professional		$1,900.20	$1,900.20	$3,391.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,140.11 / $1,140.11 / $4,142.43	Professional		$1,140.11	$1,140.11	$4,142.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $1,900.20 / $1,900.20	Professional		$1,900.20	$1,900.20	$1,900.20