Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,370.32 / $7,943.28	Facility		$1,258.93	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,238.72	Professional		$741.31	$1,071.52	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,290.87	Professional		$1,819.70	$1,995.26	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $3,235.94	Professional		$776.25	$1,258.93	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $7,413.10	Facility		$1,479.11	$2,187.76	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,698.24 / $2,951.21	Professional		$933.25	$1,698.24	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $3,019.95	Professional		$1,819.70	$2,041.74	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,238.72	Professional		$1,659.59	$1,659.59	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $2,041.74	Professional		$870.96	$1,548.82	$2,041.74
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 $870.96 / $1,348.96 / $2,570.40	Professional		$870.96	$1,348.96	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,949.84	Professional		$1,318.26	$1,659.59	$1,949.84