Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,786.30 / $7,079.46	Facility		$1,148.15	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $3,162.28	Professional		$676.08	$933.25	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $2,137.96	Professional		$1,698.24	$1,778.28	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $2,691.53	Professional		$724.44	$1,318.26	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,248.07 / $15,488.17	Facility		$1,288.25	$5,248.07	$15,488.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $5,754.40	Professional		$851.14	$1,513.56	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $2,691.53	Professional		$1,698.24	$1,778.28	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,137.96	Professional		$1,513.56	$2,137.96	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,513.56 / $1,995.26	Professional		$6.03	$1,513.56	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $11,481.54 / $15,848.93	Facility		$7,943.28	$11,481.54	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,238.72	Professional		$794.33	$1,202.26	$2,238.72
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