Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,235.94 / $6,760.83	Facility		$1,348.96	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,398.83	Professional		$870.96	$1,096.48	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,754.23	Professional		$1,698.24	$2,187.76	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $3,548.13	Professional		$851.14	$1,348.96	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $15,848.93	Facility		$1,230.27	$2,398.83	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,737.80 / $7,079.46	Professional		$933.25	$1,737.80	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,570.40	Professional		$1,737.80	$2,187.76	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,570.40	Professional		$1,698.24	$1,905.46	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,137.96	Professional		$912.01	$1,621.81	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $23,442.29	Facility		$7,413.10	$11,748.98	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,630.27	Professional		$912.01	$1,348.96	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,187.76	Professional		$1,479.11	$1,862.09	$2,187.76