Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,786.30 / $7,079.46	Facility		$1,318.26	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,995.26	Professional		$707.95	$977.24	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,290.87	Professional		$1,737.80	$1,862.09	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $3,162.28	Professional		$794.33	$1,318.26	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $6,606.93	Facility		$1,318.26	$2,238.72	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $6,025.60	Professional		$933.25	$1,584.89	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,630.27	Professional		$1,737.80	$1,862.09	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,137.96	Professional		$1,479.11	$2,137.96	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,479.11 / $1,995.26	Professional		$3.02	$1,479.11	$1,995.26
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 $851.14 / $1,318.26 / $2,511.89	Professional		$851.14	$1,318.26	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Professional		$1,513.56	$1,513.56	$1,778.28