Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $6,025.60 / $7,943.28	Facility		$1,230.27	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $3,981.07	Professional		$676.08	$933.25	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $2,187.76	Professional		$1,698.24	$1,778.28	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,380.38 / $3,981.07	Professional		$758.58	$1,380.38	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,248.07 / $15,488.17	Facility		$1,348.96	$5,248.07	$15,488.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $5,623.41	Professional		$891.25	$1,513.56	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $2,570.40	Professional		$1,659.59	$1,778.28	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $1,995.26	Professional		$1,479.11	$1,995.26	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,548.82 / $1,862.09	Professional		$6.03	$1,548.82	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $11,481.54 / $15,848.93	Facility		$7,943.28	$11,481.54	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $2,398.83	Professional		$812.83	$1,258.93	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,698.24	Professional		$1,445.44	$1,445.44	$1,698.24