Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.08 / $1,280.08 / $1,355.06	Facility		$1,280.08	$1,280.08	$1,355.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.02 / $988.46 / $1,654.36	Professional		$740.02	$988.46	$1,654.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $2,016.60	Facility		$1,028.38	$1,028.38	$2,016.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.95 / $2,135.63 / $2,669.53	Professional		$1,722.95	$2,135.63	$2,669.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,630.40 / $1,761.60 / $1,842.32	Professional		$1,630.40	$1,761.60	$1,842.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,151.65 / $2,176.15 / $8,579.00	Facility		$1,151.65	$2,176.15	$8,579.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $813.74 / $945.08 / $2,504.76	Professional		$813.74	$945.08	$2,504.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,010.69 / $2,016.60 / $2,500.19	Facility		$2,010.69	$2,016.60	$2,500.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,651.60 / $2,355.66 / $3,853.63	Professional		$1,651.60	$2,355.66	$3,853.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,842.32 / $1,973.12 / $3,337.84	Professional		$1,842.32	$1,973.12	$3,337.84
United Facility/Professional Professional Modifier Low / Median / High Price $813.74 / $914.59 / $2,395.02	Professional		$813.74	$914.59	$2,395.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,741.61 / $1,741.61 / $1,741.61	Facility		$1,741.61	$1,741.61	$1,741.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,375.87 / $1,741.61 / $1,741.61	Professional		$1,375.87	$1,741.61	$1,741.61