Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,951.21 / $12,589.25	Facility		$812.83	$2,951.21	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $3,715.35	Professional		$707.95	$1,202.26	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,290.87	Professional		$1,412.54	$1,819.70	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $2,754.23	Professional		$676.08	$1,096.48	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $17,378.01	Facility		$1,148.15	$1,995.26	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,445.44 / $5,888.44	Professional		$758.58	$1,445.44	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,137.96	Professional		$1,513.56	$1,778.28	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $2,137.96	Professional		$1,412.54	$1,445.44	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $1,778.28	Professional		$758.58	$1,348.96	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $19,498.45	Facility		$4,365.16	$7,413.10	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,089.30	Professional		$741.31	$1,071.52	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,819.70	Professional		$1,230.27	$1,548.82	$1,819.70