Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,235.94 / $6,760.83	Facility		$1,202.26	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,905.46	Professional		$691.83	$794.33	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $2,187.76	Professional		$1,122.02	$1,778.28	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $2,398.83	Professional		$645.65	$977.24	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,862.09 / $17,378.01	Facility		$794.33	$1,862.09	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,412.54 / $5,623.41	Professional		$741.31	$1,412.54	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,041.74	Professional		$1,047.13	$1,698.24	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $1,819.70	Professional		$1,445.44	$1,479.11	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,698.24	Professional		$724.44	$1,288.25	$1,698.24
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 $707.95 / $1,047.13 / $2,041.74	Professional		$707.95	$1,047.13	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,778.28	Professional		$1,174.90	$1,479.11	$1,778.28