Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,235.94 / $6,760.83	Facility		$1,288.25	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $2,089.30	Professional		$741.31	$912.01	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,398.83	Professional		$1,445.44	$1,905.46	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,951.21	Professional		$707.95	$1,148.15	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $17,378.01	Facility		$1,023.29	$2,089.30	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $6,025.60	Professional		$794.33	$1,548.82	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,238.72	Professional		$1,548.82	$1,819.70	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $2,238.72	Professional		$1,548.82	$1,584.89	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $1,819.70	Professional		$794.33	$1,412.54	$1,819.70
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 $776.25 / $1,148.15 / $2,187.76	Professional		$776.25	$1,148.15	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,905.46	Professional		$1,288.25	$1,621.81	$1,905.46