Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,786.30 / $7,079.46	Facility		$1,122.02	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,737.80	Professional		$602.56	$851.14	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $1,995.26	Professional		$1,513.56	$1,621.81	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $2,754.23	Professional		$691.83	$1,202.26	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $6,309.57	Facility		$1,148.15	$1,949.84	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $5,128.61	Professional		$794.33	$1,380.38	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $2,238.72	Professional		$1,513.56	$1,621.81	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $1,819.70	Professional		$1,288.25	$1,819.70	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,288.25 / $1,698.24	Professional		$6.03	$1,288.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,413.10	Facility		$3,019.95	$5,370.32	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $2,187.76	Professional		$724.44	$1,122.02	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,548.82	Professional		$1,318.26	$1,318.26	$1,548.82