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 / $831.76 / $1,737.80	Professional		$645.65	$831.76	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,041.74	Professional		$1,621.81	$1,621.81	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $2,570.40	Professional		$691.83	$1,202.26	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $6,606.93	Facility		$1,047.13	$1,737.80	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $5,623.41	Professional		$851.14	$1,412.54	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,454.71	Professional		$1,548.82	$1,698.24	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $1,949.84	Professional		$1,318.26	$1,862.09	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,318.26 / $1,819.70	Professional		$6.03	$1,318.26	$1,819.70
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 $776.25 / $1,174.90 / $2,290.87	Professional		$776.25	$1,174.90	$2,290.87
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