Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $7,079.46	Facility		$1,023.29	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,737.80	Professional		$645.65	$831.76	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $2,041.74	Professional		$1,479.11	$1,621.81	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,137.96	Professional		$676.08	$1,122.02	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,570.88 / $16,218.10	Facility		$1,047.13	$4,570.88	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $6,606.93	Professional		$724.44	$1,258.93	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $2,089.30	Professional		$1,380.38	$1,513.56	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $1,905.46	Professional		$1,258.93	$1,862.09	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,318.26 / $1,862.09	Professional		$5.01	$1,318.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,949.84	Professional		$691.83	$1,000.00	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,513.56	Professional		$1,288.25	$1,288.25	$1,513.56