Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,786.30 / $7,079.46	Facility		$1,096.48	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,659.59	Professional		$602.56	$724.44	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,479.11 / $1,862.09	Professional		$630.96	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,202.26 / $2,818.38	Professional		$616.60	$1,202.26	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,479.11 / $14,454.40	Facility		$676.08	$1,479.11	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $4,897.79	Professional		$707.95	$1,202.26	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,819.70	Professional		$1,230.27	$1,513.56	$1,819.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,819.70	Professional		$1,096.48	$1,288.25	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $1,698.24	Professional		$7.08	$7.08	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $15,848.93	Facility		$4,677.35	$10,232.93	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,819.70	Professional		$676.08	$1,000.00	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,548.82	Professional		$1,023.29	$1,318.26	$1,548.82