Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,981.07 / $6,760.83	Facility		$1,174.90	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $3,019.95	Professional		$645.65	$870.96	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $2,041.74	Professional		$1,621.81	$1,659.59	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $2,884.03	Professional		$707.95	$1,202.26	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,168.69 / $13,803.84	Facility		$1,288.25	$4,168.69	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $6,918.31	Professional		$831.76	$1,445.44	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $2,454.71	Professional		$1,584.89	$1,659.59	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $1,905.46	Professional		$1,348.96	$1,905.46	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,348.96 / $1,778.28	Professional		$3.02	$1,348.96	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,000.00 / $14,125.38	Facility		$7,079.46	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $2,238.72	Professional		$758.58	$1,174.90	$2,238.72
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