Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,981.07 / $6,760.83	Facility		$1,659.59	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,630.27	Professional		$954.99	$1,122.02	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $3,090.30	Professional		$1,412.54	$2,454.71	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $3,467.37	Professional		$758.58	$1,288.25	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,570.40 / $8,128.31	Facility		$891.25	$2,570.40	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,862.09 / $7,943.28	Professional		$831.76	$1,862.09	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $2,884.03	Professional		$1,148.15	$2,398.83	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $2,137.96	Professional		$1,995.26	$2,137.96	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $2,398.83	Professional		$1,023.29	$1,778.28	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $8,912.51	Facility		$3,162.28	$5,495.41	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $2,884.03	Professional		$776.25	$1,412.54	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,454.71	Professional		$1,659.59	$2,089.30	$2,454.71