Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,370.32 / $7,943.28	Facility		$1,230.27	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $3,090.30	Professional		$645.65	$954.99	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $2,137.96	Professional		$1,621.81	$1,737.80	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $3,019.95	Professional		$741.31	$1,288.25	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $9,549.93	Facility		$1,258.93	$3,715.35	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $5,495.41	Professional		$870.96	$1,479.11	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $2,454.71	Professional		$1,621.81	$1,737.80	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $1,995.26	Professional		$1,412.54	$1,995.26	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,412.54 / $1,862.09	Professional		$6.03	$1,412.54	$1,862.09
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 $794.33 / $1,230.27 / $2,344.23	Professional		$794.33	$1,230.27	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,659.59	Professional		$1,412.54	$1,412.54	$1,659.59