Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,248.07 / $7,943.28	Facility		$1,288.25	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $2,089.30	Professional		$758.58	$870.96	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,398.83	Professional		$1,445.44	$1,905.46	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,630.27	Professional		$741.31	$1,148.15	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $31,622.78	Facility		$1,288.25	$2,187.76	$31,622.78
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 $1,548.82 / $1,862.09 / $2,238.72	Professional		$1,548.82	$1,862.09	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $2,238.72	Professional		$1,548.82	$1,621.81	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $1,862.09	Professional		$794.33	$1,412.54	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $34,673.69	Facility		$7,413.10	$11,748.98	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,238.72	Professional		$794.33	$1,174.90	$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