Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $7,943.28	Facility		$1,621.81	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,398.83	Professional		$870.96	$1,047.13	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,187.76 / $2,691.53	Professional		$933.25	$2,187.76	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $3,630.78	Professional		$912.01	$1,621.81	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,737.80 / $3,388.44	Facility		$977.24	$1,737.80	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $7,762.47	Professional		$1,023.29	$1,819.70	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,630.27	Professional		$1,698.24	$2,238.72	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,630.27	Professional		$1,479.11	$1,949.84	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,905.46 / $2,454.71	Professional		$7.08	$1,905.46	$2,454.71
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 $977.24 / $1,380.38 / $2,630.27	Professional		$977.24	$1,380.38	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,238.72	Professional		$1,479.11	$1,905.46	$2,238.72