Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.74 / $1,234.11 / $1,234.11	Facility		$1,219.74	$1,234.11	$1,234.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.46 / $996.99 / $1,614.61	Professional		$767.46	$996.99	$1,614.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,898.04	Facility		$1,037.25	$1,037.25	$1,898.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.25 / $2,059.13 / $2,573.91	Professional		$1,037.25	$2,059.13	$2,573.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,687.34 / $2,059.39 / $2,225.12	Professional		$1,687.34	$2,059.39	$2,225.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,215.80 / $1,986.89 / $8,839.16	Facility		$1,215.80	$1,986.89	$8,839.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $820.76 / $934.68 / $2,357.52	Professional		$820.76	$934.68	$2,357.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,898.04 / $1,898.04 / $2,521.77	Facility		$1,898.04	$1,898.04	$2,521.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,554.49 / $2,243.14 / $3,627.10	Professional		$1,554.49	$2,243.14	$3,627.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,884.96 / $3,170.43	Professional		$1,760.00	$1,884.96	$3,170.43
United Facility/Professional Professional Modifier Low / Median / High Price $820.76 / $860.83 / $2,263.26	Professional		$820.76	$860.83	$2,263.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,639.22 / $1,639.22 / $1,639.22	Facility		$1,639.22	$1,639.22	$1,639.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,294.98 / $1,639.22 / $1,639.22	Professional		$1,294.98	$1,639.22	$1,639.22