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 / $1,177.60 / $6,594.02	Professional		$1,053.00	$1,177.60	$6,594.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,264.71 / $2,730.00 / $4,017.00	Facility		$2,264.71	$2,730.00	$4,017.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,264.71 / $3,209.46 / $4,580.55	Professional		$2,264.71	$3,209.46	$4,580.55
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 Professional Modifier Low / Median / High Price $1,053.00 / $1,053.00 / $3,246.75	Professional		$1,053.00	$1,053.00	$3,246.75
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