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 $150.00 / $2,145.00 / $3,529.50	Professional		$150.00	$2,145.00	$3,529.50
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 / $1,088.09 / $5,663.56	Professional		$1,053.00	$1,088.09	$5,663.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $2,730.00 / $4,017.00	Facility		$2,340.00	$2,730.00	$4,017.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,107.73 / $3,071.25 / $4,563.00	Professional		$2,107.73	$3,071.25	$4,563.00
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 / $3,593.36	Professional		$1,053.00	$1,053.00	$3,593.36
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