Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,981.07 / $6,760.83	Facility		$1,288.25	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,187.76	Professional		$812.83	$1,047.13	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,511.89	Professional		$1,905.46	$2,041.74	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $3,715.35	Professional		$851.14	$1,412.54	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,019.95 / $9,549.93	Facility		$1,348.96	$3,019.95	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $6,760.83	Professional		$954.99	$1,659.59	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,570.40	Professional		$1,698.24	$1,905.46	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $2,398.83	Professional		$1,621.81	$2,344.23	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,659.59 / $2,290.87	Professional		$5.01	$1,659.59	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $10,232.93	Facility		$4,570.88	$7,413.10	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,511.89	Professional		$891.25	$1,288.25	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,905.46	Professional		$1,621.81	$1,621.81	$1,905.46