Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,786.30 / $7,079.46	Facility		$1,548.82	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $2,511.89	Professional		$891.25	$1,047.13	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,818.38	Professional		$1,819.70	$2,290.87	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $3,162.28	Professional		$933.25	$1,412.54	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $32,359.37	Facility		$1,412.54	$2,630.27	$32,359.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $7,244.36	Professional		$1,023.29	$1,949.84	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,691.53	Professional		$2,041.74	$2,344.23	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,949.84 / $2,691.53	Professional		$1,905.46	$1,949.84	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $2,187.76	Professional		$933.25	$1,659.59	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $34,673.69	Facility		$8,511.38	$13,489.63	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,754.23	Professional		$977.24	$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