Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.53 / $1,617.53 / $1,651.45	Facility		$1,617.53	$1,617.53	$1,651.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.34 / $1,196.53 / $1,724.76	Professional		$729.34	$1,196.53	$1,724.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $2,274.65	Facility		$1,107.01	$1,107.01	$2,274.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.01 / $2,698.88 / $3,373.59	Professional		$1,107.01	$2,698.88	$3,373.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.10 / $2,417.96 / $2,752.55	Professional		$1,931.10	$2,417.96	$2,752.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,299.03 / $2,657.10 / $9,312.17	Facility		$1,299.03	$2,657.10	$9,312.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $883.84 / $1,051.33 / $2,825.30	Professional		$883.84	$1,051.33	$2,825.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,267.98 / $2,274.65 / $2,726.18	Facility		$2,267.98	$2,274.65	$2,726.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,915.00 / $2,657.10 / $4,346.79	Professional		$1,915.00	$2,657.10	$4,346.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,109.21 / $2,374.53 / $4,155.43	Professional		$2,109.21	$2,374.53	$4,155.43
United Facility/Professional Professional Modifier Low / Median / High Price $875.96 / $1,031.63 / $2,712.34	Professional		$875.96	$1,031.63	$2,712.34
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,964.47 / $1,964.47 / $1,964.47	Facility		$1,964.47	$1,964.47	$1,964.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,551.93 / $1,964.47 / $1,964.47	Professional		$1,551.93	$1,964.47	$1,964.47