Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,235.94 / $6,760.83	Facility		$1,230.27	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $2,951.21	Professional		$724.44	$870.96	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,454.71	Professional		$1,819.70	$1,995.26	$2,454.71
Hally Health 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
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $11,748.98 / $33,884.42	Facility		$1,071.52	$11,748.98	$33,884.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,778.28 / $5,128.61	Professional		$954.99	$1,778.28	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,019.95	Professional		$1,412.54	$1,905.46	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $1,995.26	Professional		$5.01	$5.01	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $15,135.61 / $29,512.09	Facility		$9,549.93	$15,135.61	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,570.40	Professional		$912.01	$1,380.38	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,949.84	Professional		$1,659.59	$1,659.59	$1,949.84