Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $7,943.28	Facility		$1,122.02	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,621.81	Professional		$630.96	$776.25	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,584.89 / $1,995.26	Professional		$645.65	$1,584.89	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $3,162.28	Professional		$660.69	$1,202.26	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $3,388.44	Facility		$707.95	$1,230.27	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $5,011.87	Professional		$724.44	$1,258.93	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,862.09	Professional		$1,230.27	$1,548.82	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,862.09	Professional		$1,071.52	$1,348.96	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,318.26 / $1,584.89	Professional		$7.08	$1,318.26	$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 $676.08 / $977.24 / $1,862.09	Professional		$676.08	$977.24	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,621.81	Professional		$1,096.48	$1,380.38	$1,621.81