Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,370.32 / $7,943.28	Facility		$1,348.96	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $2,041.74	Professional		$741.31	$891.25	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,819.70 / $2,290.87	Professional		$776.25	$1,819.70	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $3,467.37	Professional		$758.58	$1,412.54	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,621.81 / $4,677.35	Facility		$812.83	$1,621.81	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $5,888.44	Professional		$870.96	$1,513.56	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,187.76	Professional		$1,621.81	$1,819.70	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,187.76	Professional		$1,380.38	$1,621.81	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,659.59 / $2,041.74	Professional		$7.08	$1,659.59	$2,041.74
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 $851.14 / $1,258.93 / $2,290.87	Professional		$851.14	$1,258.93	$2,290.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,905.46	Professional		$1,288.25	$1,621.81	$1,905.46