Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,248.07 / $7,943.28	Facility		$1,096.48	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $2,238.72	Professional		$812.83	$933.25	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,570.40	Professional		$2,041.74	$2,089.30	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $3,890.45	Professional		$891.25	$1,513.56	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $7,413.10	Facility		$1,258.93	$2,630.27	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $6,760.83	Professional		$1,047.13	$1,778.28	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $3,090.30	Professional		$1,995.26	$2,041.74	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $2,454.71	Professional		$1,659.59	$2,454.71	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,659.59 / $2,290.87	Professional		$6.03	$1,659.59	$2,290.87
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 $954.99 / $1,412.54 / $2,754.23	Professional		$954.99	$1,412.54	$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