Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,248.07 / $7,943.28	Facility		$1,412.54	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $2,238.72	Professional		$812.83	$933.25	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,570.40	Professional		$1,621.81	$2,041.74	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $3,467.37	Professional		$812.83	$1,258.93	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $17,782.79	Facility		$1,288.25	$2,290.87	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $7,244.36	Professional		$891.25	$1,737.80	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $2,398.83	Professional		$1,778.28	$1,995.26	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $2,398.83	Professional		$1,698.24	$1,737.80	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $1,995.26	Professional		$851.14	$1,513.56	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $19,498.45	Facility		$8,511.38	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,454.71	Professional		$851.14	$1,258.93	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,089.30	Professional		$1,380.38	$1,737.80	$2,089.30