Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,786.30 / $7,079.46	Facility		$1,318.26	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $2,818.38	Professional		$758.58	$891.25	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,454.71	Professional		$1,479.11	$1,949.84	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $3,090.30	Professional		$724.44	$1,148.15	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $17,782.79	Facility		$1,318.26	$2,187.76	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,621.81 / $6,165.95	Professional		$812.83	$1,621.81	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,290.87	Professional		$1,621.81	$1,949.84	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Professional		$1,548.82	$1,548.82	$2,290.87
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 $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,238.72	Professional		$794.33	$1,148.15	$2,238.72
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