Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,370.32 / $7,943.28	Facility		$776.25	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $2,290.87	Professional		$758.58	$831.76	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,344.23	Professional		$1,862.09	$1,995.26	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $3,715.35	Professional		$831.76	$1,584.89	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $7,079.46	Facility		$1,202.26	$2,041.74	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $10,964.78	Professional		$977.24	$1,698.24	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $3,019.95	Professional		$1,905.46	$1,995.26	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,344.23	Professional		$1,698.24	$2,290.87	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $1,778.28 / $2,137.96	Professional		$12.02	$1,778.28	$2,137.96
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 $891.25 / $1,380.38 / $2,630.27	Professional		$891.25	$1,380.38	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,949.84	Professional		$1,659.59	$1,659.59	$1,949.84