Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,128.61 / $7,943.28	Facility		$1,071.52	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,621.81	Professional		$588.84	$707.95	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,445.44 / $1,819.70	Professional		$616.60	$1,445.44	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $2,754.23	Professional		$602.56	$1,174.90	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,445.44 / $25,118.86	Facility		$660.69	$1,445.44	$25,118.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $4,786.30	Professional		$676.08	$1,174.90	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,737.80	Professional		$1,202.26	$1,445.44	$1,737.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,737.80	Professional		$1,071.52	$1,258.93	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $1,659.59	Professional		$7.08	$7.08	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $11,748.98 / $28,183.83	Facility		$4,677.35	$11,748.98	$28,183.83
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,778.28	Professional		$660.69	$977.24	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,513.56	Professional		$1,000.00	$1,258.93	$1,513.56