Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.92 / $1,990.00 / $2,505.91	Facility		$384.92	$1,990.00	$2,505.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,300.00 / $1,300.00	Professional		$1,130.00	$1,300.00	$1,300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,145.68 / $3,240.05 / $3,334.42	Facility		$3,145.68	$3,240.05	$3,334.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,077.20 / $3,542.07 / $3,846.50	Professional		$3,077.20	$3,542.07	$3,846.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $875.97 / $1,552.49 / $2,530.42	Professional		$875.97	$1,552.49	$2,530.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.85 / $2,197.00 / $4,096.58	Facility		$160.85	$2,197.00	$4,096.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $529.17 / $1,499.58 / $4,096.58	Professional		$529.17	$1,499.58	$4,096.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.58 / $1,339.02 / $3,334.42	Facility		$151.58	$1,339.02	$3,334.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $869.06 / $3,249.58	Professional		$143.75	$869.06	$3,249.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $130.66 / $1,614.05	Professional		$68.79	$130.66	$1,614.05
United Facility/Professional Professional Modifier Low / Median / High Price $771.52 / $1,519.41 / $2,665.88	Professional		$771.52	$1,519.41	$2,665.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,314.86 / $2,930.20 / $3,447.30	Professional		$2,314.86	$2,930.20	$3,447.30