Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,981.07 / $6,760.83	Facility		$1,584.89	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $3,311.31	Professional		$933.25	$1,148.15	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $2,884.03	Professional		$1,737.80	$2,290.87	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $3,388.44	Professional		$812.83	$1,412.54	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $7,079.46	Facility		$1,380.38	$2,511.89	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $8,511.38	Professional		$1,023.29	$1,995.26	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,754.23	Professional		$1,819.70	$2,344.23	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,754.23	Professional		$1,995.26	$1,995.26	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $2,290.87	Professional		$977.24	$1,737.80	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $7,762.47	Facility		$3,162.28	$5,495.41	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,754.23	Professional		$954.99	$1,445.44	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,290.87	Professional		$1,548.82	$1,949.84	$2,290.87