Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,370.32 / $7,943.28	Facility		$1,174.90	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $2,454.71	Professional		$741.31	$891.25	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $2,344.23	Professional		$1,862.09	$1,949.84	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $2,691.53	Professional		$831.76	$1,445.44	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $7,079.46	Facility		$1,412.54	$2,041.74	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $6,165.95	Professional		$933.25	$1,659.59	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,630.27	Professional		$1,737.80	$1,949.84	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,344.23	Professional		$1,659.59	$2,344.23	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $1,698.24 / $2,187.76	Professional		$8.91	$1,698.24	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,570.40	Professional		$851.14	$1,288.25	$2,570.40
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