Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $6,760.83	Facility		$1,148.15	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,862.09	Professional		$676.08	$831.76	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,137.96	Professional		$1,348.96	$1,698.24	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $2,570.40	Professional		$676.08	$1,023.29	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $17,782.79	Facility		$1,047.13	$1,949.84	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $5,495.41	Professional		$741.31	$1,445.44	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,995.26	Professional		$1,479.11	$1,659.59	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,995.26	Professional		$1,412.54	$1,445.44	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,258.93 / $1,659.59	Professional		$707.95	$1,258.93	$1,659.59
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 $707.95 / $1,047.13 / $2,041.74	Professional		$707.95	$1,047.13	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,698.24	Professional		$1,148.15	$1,445.44	$1,698.24