Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,606.93 / $8,128.31	Facility		$1,174.90	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,995.26	Professional		$741.31	$912.01	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $2,290.87	Professional		$1,778.28	$1,862.09	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,951.21	Professional		$794.33	$1,348.96	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $6,606.93	Facility		$1,412.54	$2,630.27	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $6,025.60	Professional		$912.01	$1,584.89	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,691.53	Professional		$1,737.80	$1,819.70	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,137.96	Professional		$1,513.56	$2,137.96	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,513.56 / $2,041.74	Professional		$6.03	$1,513.56	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $7,585.78	Facility		$3,019.95	$5,248.07	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,511.89	Professional		$851.14	$1,288.25	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,819.70	Professional		$1,548.82	$1,548.82	$1,819.70