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 / $7,943.28	Facility		$933.25	$3,981.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $2,398.83	Professional		$512.86	$724.44	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,659.59	Professional		$1,258.93	$1,318.26	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $2,884.03	Professional		$575.44	$1,023.29	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,162.28 / $9,549.93	Facility		$1,096.48	$3,162.28	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $5,128.61	Professional		$660.69	$1,148.15	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,905.46	Professional		$1,258.93	$1,348.96	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $1,513.56	Professional		$1,071.52	$1,513.56	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,071.52 / $1,412.54	Professional		$3.02	$1,071.52	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,715.19	Facility		$4,786.30	$7,762.47	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,778.28	Professional		$602.56	$933.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,288.25	Professional		$1,071.52	$1,071.52	$1,288.25