Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,248.07 / $7,943.28	Facility		$1,288.25	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $2,041.74	Professional		$741.31	$851.14	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,344.23	Professional		$1,479.11	$1,905.46	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,511.89	Professional		$741.31	$1,148.15	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $44,668.36	Facility		$1,148.15	$2,137.96	$44,668.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $6,025.60	Professional		$812.83	$1,584.89	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,187.76	Professional		$1,621.81	$1,862.09	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $2,187.76	Professional		$1,513.56	$1,584.89	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $1,737.80	Professional		$758.58	$1,348.96	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $46,773.51	Facility		$10,471.29	$16,218.10	$46,773.51
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,238.72	Professional		$776.25	$1,148.15	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,862.09	Professional		$1,258.93	$1,584.89	$1,862.09