Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,370.32 / $8,128.31	Facility		$741.31	$5,370.32	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $3,981.07	Professional		$831.76	$1,348.96	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,630.27	Professional		$2,041.74	$2,089.30	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $3,467.37	Professional		$912.01	$1,548.82	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $7,943.28	Facility		$1,348.96	$2,570.40	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $6,760.83	Professional		$1,071.52	$1,819.70	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $3,090.30	Professional		$1,995.26	$2,089.30	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $2,511.89	Professional		$1,819.70	$2,511.89	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,778.28 / $2,344.23	Professional		$6.03	$1,778.28	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $10,232.93	Facility		$3,388.44	$6,309.57	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,754.23	Professional		$977.24	$1,445.44	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,041.74	Professional		$1,737.80	$1,737.80	$2,041.74