Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,511.33 / $1,511.33 / $1,599.87	Facility		$1,511.33	$1,511.33	$1,599.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.72 / $1,167.04 / $1,953.24	Professional		$873.72	$1,167.04	$1,953.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $2,380.90	Facility		$1,540.39	$1,540.39	$2,380.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.39 / $2,521.50 / $3,151.88	Professional		$1,540.39	$2,521.50	$3,151.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.37 / $2,218.08 / $2,396.57	Professional		$2,066.37	$2,218.08	$2,396.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,359.71 / $2,569.26 / $10,128.96	Facility		$1,359.71	$2,569.26	$10,128.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $960.75 / $1,115.81 / $2,957.27	Professional		$960.75	$1,115.81	$2,957.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,373.94 / $2,380.90 / $2,951.88	Facility		$2,373.94	$2,380.90	$2,951.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.98 / $2,781.22 / $4,549.85	Professional		$1,949.98	$2,781.22	$4,549.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,175.13 / $2,329.56 / $3,940.82	Professional		$2,175.13	$2,329.56	$3,940.82
United Facility/Professional Professional Modifier Low / Median / High Price $960.75 / $1,079.82 / $2,546.71	Professional		$960.75	$1,079.82	$2,546.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,056.23 / $2,056.23 / $2,056.23	Facility		$2,056.23	$2,056.23	$2,056.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,624.42 / $2,056.23 / $2,056.23	Professional		$1,624.42	$2,056.23	$2,056.23