Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,165.95 / $9,549.93	Facility		$1,258.93	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $4,570.88 / $12,589.25	Professional		$707.95	$4,570.88	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $16,595.87	Professional		$1,778.28	$2,187.76	$16,595.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $6,025.60 / $9,332.54	Professional		$758.58	$6,025.60	$9,332.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $11,748.98 / $22,908.68	Facility		$1,659.59	$11,748.98	$22,908.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $9,120.11 / $20,892.96	Professional		$1,659.59	$9,120.11	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $11,220.18 / $15,488.17	Professional		$1,659.59	$11,220.18	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $16,982.44	Professional		$1,548.82	$2,041.74	$16,982.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14,454.40 / $17,378.01	Professional		$5.01	$14,454.40	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,791.08 / $25,118.86	Facility		$9,549.93	$14,791.08	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,398.83 / $14,125.38	Professional		$891.25	$2,398.83	$14,125.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $12,022.64	Professional		$1,445.44	$1,698.24	$12,022.64