Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,786.30 / $7,079.46	Facility		$1,174.90	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $3,019.95	Professional		$645.65	$912.01	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $2,041.74	Professional		$1,584.89	$1,659.59	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $3,311.31	Professional		$707.95	$1,202.26	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,162.28 / $9,549.93	Facility		$1,174.90	$3,162.28	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $5,370.32	Professional		$831.76	$1,412.54	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $2,344.23	Professional		$1,548.82	$1,659.59	$2,344.23
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 $6.03 / $1,348.96 / $1,778.28	Professional		$6.03	$1,348.96	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,964.78	Facility		$4,786.30	$7,762.47	$10,964.78
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