Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,374.67 / $3,167.00 / $11,100.08	Facility		$2,374.67	$3,167.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.94 / $1,119.65 / $2,644.25	Professional		$724.94	$1,119.65	$2,644.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.09 / $1,798.16 / $2,247.69	Professional		$1,399.09	$1,798.16	$2,247.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $726.56 / $1,156.08 / $2,640.29	Professional		$726.56	$1,156.08	$2,640.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,187.41 / $1,924.74 / $11,139.12	Facility		$1,187.41	$1,924.74	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $791.37 / $1,505.98 / $5,872.80	Professional		$791.37	$1,505.98	$5,872.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,946.63 / $6,616.19	Facility		$1,386.00	$1,946.63	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,115.97 / $1,687.95 / $2,207.71	Professional		$1,115.97	$1,687.95	$2,207.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $770.72 / $1,426.34 / $7,323.26	Professional		$770.72	$1,426.34	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.40 / $1,151.08 / $2,100.21	Professional		$755.40	$1,151.08	$2,100.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,224.90 / $1,550.50 / $1,824.10	Professional		$1,224.90	$1,550.50	$1,824.10