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 $602.56 / $676.08 / $1,819.70	Professional		$602.56	$676.08	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,862.09	Professional		$1,513.56	$1,513.56	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $2,238.72	Professional		$660.69	$1,096.48	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,621.81 / $6,606.93	Facility		$912.01	$1,621.81	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $9,332.54	Professional		$758.58	$1,318.26	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $2,238.72	Professional		$1,412.54	$1,513.56	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $1,819.70	Professional		$1,318.26	$1,819.70	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,318.26 / $1,737.80	Professional		$6.03	$1,318.26	$1,737.80
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 $691.83 / $1,023.29 / $1,905.46	Professional		$691.83	$1,023.29	$1,905.46
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