Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,786.30 / $7,079.46	Facility		$1,445.44	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $2,290.87	Professional		$831.76	$977.24	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,691.53	Professional		$1,621.81	$2,137.96	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $2,951.21	Professional		$794.33	$1,258.93	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $17,782.79	Facility		$1,445.44	$2,344.23	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $6,760.83	Professional		$891.25	$1,737.80	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,511.89	Professional		$1,778.28	$2,137.96	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,511.89	Professional		$1,659.59	$1,659.59	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $2,041.74	Professional		$891.25	$1,584.89	$2,041.74
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 $870.96 / $1,258.93 / $2,454.71	Professional		$870.96	$1,258.93	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,089.30	Professional		$1,412.54	$1,778.28	$2,089.30