Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,370.32 / $7,943.28	Facility		$794.33	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $2,630.27	Professional		$2,089.30	$2,454.71	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $4,786.30	Professional		$1,148.15	$2,089.30	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,079.46	Facility		$794.33	$3,162.28	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $3,019.95	Professional		$1,071.52	$1,659.59	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,388.44	Professional		$2,454.71	$2,454.71	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $4,466.84	Professional		$7.08	$7.08	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $3,019.95	Professional		$1,023.29	$1,584.89	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,818.38	Professional		$2,398.83	$2,398.83	$2,818.38