Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $6,760.83	Facility		$1,071.52	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,584.89	Professional		$575.44	$707.95	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $1,995.26	Professional		$1,174.90	$1,584.89	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,949.84	Professional		$549.54	$912.01	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,659.59 / $8,128.31	Facility		$870.96	$1,659.59	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $5,011.87	Professional		$630.96	$1,230.27	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,862.09	Professional		$1,230.27	$1,513.56	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,862.09	Professional		$1,202.26	$1,202.26	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,548.82	Professional		$660.69	$1,174.90	$1,548.82
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 $602.56 / $912.01 / $1,778.28	Professional		$602.56	$912.01	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,548.82	Professional		$1,047.13	$1,318.26	$1,548.82