Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $7,943.28	Facility		$1,047.13	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,949.84	Professional		$645.65	$851.14	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $2,041.74	Professional		$1,584.89	$1,621.81	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,691.53	Professional		$707.95	$1,230.27	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,737.80 / $7,079.46	Facility		$933.25	$1,737.80	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $5,248.07	Professional		$776.25	$1,412.54	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,089.30	Professional		$1,380.38	$1,621.81	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $1,949.84	Professional		$1,412.54	$1,949.84	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $1,778.28	Professional		$758.58	$1,348.96	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,137.96	Professional		$741.31	$1,096.48	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,584.89	Professional		$1,348.96	$1,348.96	$1,584.89