Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.75 / $3,161.28 / $4,421.92	Facility		$1,751.75	$3,161.28	$4,421.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,251.25 / $1,251.25 / $1,576.25	Professional		$1,251.25	$1,251.25	$1,576.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.59 / $2,951.96 / $3,689.95	Professional		$1,867.59	$2,951.96	$3,689.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,381.25 / $2,437.50 / $2,941.25	Professional		$1,381.25	$2,437.50	$2,941.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,251.25 / $2,096.94 / $6,378.70	Facility		$1,251.25	$2,096.94	$6,378.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,625.00 / $5,244.04	Professional		$975.00	$1,625.00	$5,244.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,951.61 / $2,979.60 / $4,160.00	Facility		$1,951.61	$2,979.60	$4,160.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,979.60 / $4,143.75	Professional		$1,950.00	$2,979.60	$4,143.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $2,900.62	Professional		$1,625.00	$1,625.00	$2,900.62
United Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $975.00 / $4,109.63	Professional		$975.00	$975.00	$4,109.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,283.75 / $1,625.00 / $1,625.00	Professional		$1,283.75	$1,625.00	$1,625.00