Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,248.07 / $7,943.28	Facility		$1,621.81	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,570.40	Professional		$933.25	$1,096.48	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,951.21	Professional		$1,905.46	$2,398.83	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $3,311.31	Professional		$954.99	$1,445.44	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $17,782.79	Facility		$1,479.11	$2,754.23	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $7,585.78	Professional		$1,047.13	$2,089.30	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $2,818.38	Professional		$2,089.30	$2,398.83	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $2,818.38	Professional		$1,995.26	$2,041.74	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,238.72	Professional		$954.99	$1,698.24	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $19,498.45	Facility		$7,413.10	$11,481.54	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,884.03	Professional		$1,000.00	$1,479.11	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,398.83	Professional		$1,584.89	$2,041.74	$2,398.83