Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,235.94 / $6,760.83	Facility		$1,122.02	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,698.24	Professional		$630.96	$741.31	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,089.30	Professional		$1,258.93	$1,659.59	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $2,630.27	Professional		$616.60	$1,000.00	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $17,378.01	Facility		$1,071.52	$1,905.46	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,412.54 / $5,370.32	Professional		$707.95	$1,412.54	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,949.84	Professional		$1,348.96	$1,621.81	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,949.84	Professional		$1,348.96	$1,412.54	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,230.27 / $1,621.81	Professional		$691.83	$1,230.27	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $19,498.45	Facility		$4,365.16	$7,413.10	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,949.84	Professional		$691.83	$1,023.29	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,659.59	Professional		$1,122.02	$1,412.54	$1,659.59