Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.03 / $1,135.03 / $1,365.28	Facility		$1,135.03	$1,135.03	$1,365.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.99 / $958.79 / $1,697.65	Professional		$656.99	$958.79	$1,697.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $2,181.83	Facility		$1,030.36	$1,030.36	$2,181.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.67 / $1,909.59 / $2,367.19	Professional		$1,527.67	$1,909.59	$2,367.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.78 / $1,832.94 / $1,983.48	Professional		$1,586.78	$1,832.94	$1,983.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,246.01 / $2,283.98 / $8,437.43	Facility		$1,246.01	$2,283.98	$8,437.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $796.42 / $989.53 / $2,601.64	Professional		$796.42	$989.53	$2,601.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,175.44 / $2,181.83 / $2,614.94	Facility		$2,175.44	$2,181.83	$2,614.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,757.54 / $2,425.15 / $4,169.41	Professional		$1,757.54	$2,425.15	$4,169.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.22 / $2,023.15 / $3,540.51	Professional		$1,666.22	$2,023.15	$3,540.51
United Facility/Professional Professional Modifier Low / Median / High Price $789.31 / $989.53 / $2,123.62	Professional		$789.31	$989.53	$2,123.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,943.81 / $1,943.81 / $1,943.81	Facility		$1,943.81	$1,943.81	$1,943.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,535.61 / $1,943.81 / $1,943.81	Professional		$1,535.61	$1,943.81	$1,943.81