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 $630.96 / $741.31 / $1,659.59	Professional		$630.96	$741.31	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,089.30	Professional		$1,258.93	$1,698.24	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $2,137.96	Professional		$602.56	$977.24	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $8,912.51	Facility		$1,096.48	$1,778.28	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $5,370.32	Professional		$691.83	$1,348.96	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,949.84	Professional		$1,380.38	$1,659.59	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,949.84	Professional		$1,318.26	$1,318.26	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $1,584.89	Professional		$676.08	$1,202.26	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,905.46	Professional		$676.08	$977.24	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,621.81	Professional		$1,096.48	$1,380.38	$1,621.81