Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,454.71 / $3,630.78	Facility		$1,000.00	$2,454.71	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,288.25	Professional		$776.25	$1,023.29	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,090.30 / $3,235.94	Facility		$3,019.95	$3,090.30	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $3,090.30	Professional		$1,698.24	$2,511.89	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,698.24 / $2,344.23	Professional		$151.36	$1,698.24	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,090.30	Facility		$1,318.26	$1,548.82	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $4,466.84	Professional		$676.08	$1,148.15	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,466.84	Professional		$1,548.82	$1,548.82	$4,466.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $2,754.23	Professional		$1,318.26	$1,412.54	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,019.95	Facility		$1,318.26	$1,318.26	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $2,818.38	Professional		$676.08	$676.08	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26