Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $6,760.83	Facility		$1,148.15	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $2,041.74	Professional		$741.31	$912.01	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,344.23	Professional		$1,479.11	$1,862.09	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,884.03	Professional		$741.31	$1,148.15	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $15,848.93	Facility		$1,096.48	$2,137.96	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $6,025.60	Professional		$812.83	$1,584.89	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,187.76	Professional		$1,584.89	$1,862.09	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $2,187.76	Professional		$1,548.82	$1,621.81	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,380.38 / $1,819.70	Professional		$776.25	$1,380.38	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,511.38 / $11,748.98	Facility		$5,248.07	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,290.87	Professional		$776.25	$1,148.15	$2,290.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,862.09	Professional		$1,258.93	$1,584.89	$1,862.09