Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,248.07 / $7,943.28	Facility		$1,380.38	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $2,187.76	Professional		$794.33	$912.01	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,511.89	Professional		$1,584.89	$1,995.26	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $2,951.21	Professional		$812.83	$1,258.93	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $8,912.51	Facility		$1,258.93	$2,290.87	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $6,760.83	Professional		$912.01	$1,778.28	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,344.23	Professional		$1,905.46	$2,137.96	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,344.23	Professional		$1,698.24	$1,698.24	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $1,949.84	Professional		$831.76	$1,479.11	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $19,498.45	Facility		$7,413.10	$11,481.54	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,454.71	Professional		$870.96	$1,318.26	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $1,995.26	Professional		$1,348.96	$1,698.24	$1,995.26