Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,370.32 / $7,943.28	Facility		$1,380.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $2,041.74	Professional		$758.58	$912.01	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,862.09 / $2,344.23	Professional		$812.83	$1,862.09	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $3,548.13	Professional		$794.33	$1,445.44	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,513.56 / $3,388.44	Facility		$831.76	$1,513.56	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $6,165.95	Professional		$870.96	$1,548.82	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,290.87	Professional		$1,445.44	$1,862.09	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,290.87	Professional		$1,230.27	$1,659.59	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,621.81 / $2,137.96	Professional		$7.08	$1,621.81	$2,137.96
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 $831.76 / $1,174.90 / $2,238.72	Professional		$831.76	$1,174.90	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,949.84	Professional		$1,318.26	$1,659.59	$1,949.84