Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,370.32 / $7,943.28	Facility		$1,148.15	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,949.84	Professional		$707.95	$891.25	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,238.72	Professional		$1,737.80	$1,819.70	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $3,311.31	Professional		$776.25	$1,348.96	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,951.21 / $9,120.11	Facility		$1,148.15	$2,951.21	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $9,772.37	Professional		$912.01	$1,584.89	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $2,630.27	Professional		$1,698.24	$1,819.70	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,089.30	Professional		$1,479.11	$2,089.30	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,479.11 / $1,949.84	Professional		$6.03	$1,479.11	$1,949.84
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 $831.76 / $1,288.25 / $2,454.71	Professional		$831.76	$1,288.25	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Professional		$1,513.56	$1,513.56	$1,778.28