Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,786.30 / $7,079.46	Facility		$1,071.52	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $2,238.72	Professional		$575.44	$707.95	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,041.74	Professional		$1,174.90	$1,621.81	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $933.25 / $2,187.76	Professional		$549.54	$933.25	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $17,782.79	Facility		$1,000.00	$1,659.59	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,258.93 / $5,128.61	Professional		$630.96	$1,258.93	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,819.70	Professional		$1,258.93	$1,513.56	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,819.70	Professional		$1,202.26	$1,202.26	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $1,548.82	Professional		$676.08	$1,202.26	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,165.95 / $19,498.45	Facility		$3,162.28	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,778.28	Professional		$616.60	$891.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,584.89	Professional		$1,047.13	$1,348.96	$1,584.89