Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,981.07 / $6,760.83	Facility		$933.25	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,584.89	Professional		$588.84	$724.44	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $1,819.70	Professional		$1,380.38	$1,479.11	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,344.23	Professional		$630.96	$1,096.48	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $13,803.84	Facility		$1,096.48	$4,073.80	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $5,370.32	Professional		$741.31	$1,288.25	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $2,089.30	Professional		$1,380.38	$1,479.11	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $1,698.24	Professional		$1,202.26	$1,698.24	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,202.26 / $1,584.89	Professional		$3.02	$1,202.26	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $14,125.38	Facility		$4,365.16	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,995.26	Professional		$676.08	$1,023.29	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,445.44	Professional		$1,230.27	$1,230.27	$1,445.44