Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $7,943.28	Facility		$1,288.25	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,905.46	Professional		$691.83	$851.14	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,737.80 / $2,187.76	Professional		$691.83	$1,737.80	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $2,344.23	Professional		$707.95	$1,318.26	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,348.96 / $3,388.44	Facility		$758.58	$1,348.96	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $5,623.41	Professional		$794.33	$1,412.54	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,089.30	Professional		$1,288.25	$1,737.80	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,137.96	Professional		$1,096.48	$1,513.56	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,584.89 / $1,995.26	Professional		$6.03	$1,584.89	$1,995.26
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 $776.25 / $1,096.48 / $2,089.30	Professional		$776.25	$1,096.48	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,778.28	Professional		$1,202.26	$1,513.56	$1,778.28