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 $575.44 / $691.83 / $1,445.44	Professional		$575.44	$691.83	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,445.44 / $1,819.70	Professional		$588.84	$1,445.44	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $2,884.03	Professional		$575.44	$1,096.48	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,202.26 / $3,388.44	Facility		$616.60	$1,202.26	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,174.90 / $6,456.54	Professional		$645.65	$1,174.90	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,698.24	Professional		$1,148.15	$1,412.54	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,698.24	Professional		$1,122.02	$1,230.27	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,230.27 / $1,584.89	Professional		$6.03	$1,230.27	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,698.24	Professional		$616.60	$891.25	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,445.44	Professional		$954.99	$1,230.27	$1,445.44