Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,370.32 / $7,943.28	Facility		$1,023.29	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,737.80	Professional		$645.65	$812.83	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $1,995.26	Professional		$1,584.89	$1,659.59	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,258.93 / $2,398.83	Professional		$707.95	$1,258.93	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,168.69 / $13,489.63	Facility		$1,318.26	$4,168.69	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $5,248.07	Professional		$831.76	$1,445.44	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,570.40	Professional		$1,548.82	$1,698.24	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $1,862.09	Professional		$1,348.96	$1,862.09	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,412.54 / $1,737.80	Professional		$7.08	$1,412.54	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,000.00 / $14,125.38	Facility		$7,079.46	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $2,238.72	Professional		$758.58	$1,202.26	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,584.89	Professional		$1,348.96	$1,348.96	$1,584.89