Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,961.62 / $4,889.39 / $7,120.36	Facility		$2,961.62	$4,889.39	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $910.98 / $1,558.75	Professional		$218.24	$910.98	$1,558.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.93 / $2,042.02 / $2,552.53	Professional		$1,183.93	$2,042.02	$2,552.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $801.96 / $1,131.94 / $3,169.31	Professional		$801.96	$1,131.94	$3,169.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,558.74 / $2,522.27 / $11,732.00	Facility		$1,558.74	$2,522.27	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,029.31 / $1,789.87 / $3,241.87	Professional		$1,029.31	$1,789.87	$3,241.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,457.00 / $2,704.07 / $4,188.66	Facility		$1,457.00	$2,704.07	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,383.00 / $1,878.51 / $2,704.07	Professional		$1,383.00	$1,878.51	$2,704.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $795.44 / $1,484.08 / $4,367.31	Professional		$795.44	$1,484.08	$4,367.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $929.37 / $1,372.42 / $2,606.21	Professional		$929.37	$1,372.42	$2,606.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,321.35 / $1,830.00 / $1,967.70	Professional		$1,321.35	$1,830.00	$1,967.70