Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,786.30 / $7,079.46	Facility		$870.96	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,513.56	Professional		$549.54	$676.08	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,737.80	Professional		$1,318.26	$1,380.38	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $2,187.76	Professional		$588.84	$1,023.29	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,951.21 / $9,332.54	Facility		$1,023.29	$2,951.21	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $9,772.37	Professional		$691.83	$1,202.26	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,905.46	Professional		$1,288.25	$1,380.38	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,584.89	Professional		$1,122.02	$1,584.89	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,122.02 / $1,479.11	Professional		$6.03	$1,122.02	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,456.54 / $9,332.54	Facility		$4,365.16	$6,456.54	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,862.09	Professional		$630.96	$977.24	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,348.96	Professional		$1,148.15	$1,148.15	$1,348.96