Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,786.30 / $7,079.46	Facility		$891.25	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,000.00	Professional		$501.19	$645.65	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $3,548.13	Professional		$1,258.93	$2,884.03	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,778.28 / $2,818.38	Professional		$616.60	$1,778.28	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,162.28 / $9,549.93	Facility		$977.24	$3,162.28	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $3,019.95	Professional		$676.08	$1,230.27	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $2,630.27	Professional		$1,230.27	$1,318.26	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,479.11	Professional		$1,023.29	$1,445.44	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $1,380.38	Professional		$3.02	$3.02	$1,380.38
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 $616.60 / $1,096.48 / $1,862.09	Professional		$616.60	$1,096.48	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54