Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $6,760.83	Facility		$1,445.44	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,187.76	Professional		$758.58	$1,122.02	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,511.89	Professional		$1,905.46	$2,041.74	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $3,467.37	Professional		$870.96	$1,548.82	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,073.80 / $13,489.63	Facility		$1,445.44	$4,073.80	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $6,456.54	Professional		$1,023.29	$1,737.80	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,884.03	Professional		$1,905.46	$2,041.74	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,344.23	Professional		$1,659.59	$2,290.87	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,659.59 / $2,187.76	Professional		$6.03	$1,659.59	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $14,125.38	Facility		$4,365.16	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,754.23	Professional		$933.25	$1,445.44	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,949.84	Professional		$1,659.59	$1,659.59	$1,949.84