Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,891.89 / $3,414.19 / $4,775.67	Facility		$1,891.89	$3,414.19	$4,775.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.30 / $1,351.35 / $1,702.35	Professional		$1,158.30	$1,351.35	$1,702.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,240.53 / $3,541.44 / $4,426.80	Professional		$2,240.53	$3,541.44	$4,426.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $2,632.50 / $8,970.00	Professional		$1,657.50	$2,632.50	$8,970.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $4,992.00	Facility		$1,950.00	$2,340.00	$4,992.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,308.45 / $7,667.80	Professional		$1,053.00	$1,308.45	$7,667.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $3,209.46 / $5,422.95	Facility		$2,340.00	$3,209.46	$5,422.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $3,209.46 / $4,972.50	Professional		$2,340.00	$3,209.46	$4,972.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $3,480.75	Professional		$1,950.00	$1,950.00	$3,480.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,632.50 / $2,632.50 / $2,632.50	Facility		$2,632.50	$2,632.50	$2,632.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,053.00 / $4,438.39	Professional		$1,053.00	$1,053.00	$4,438.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Professional		$1,950.00	$1,950.00	$1,950.00