Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $6,760.83	Facility		$1,122.02	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,737.80	Professional		$616.60	$758.58	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $1,995.26	Professional		$1,513.56	$1,621.81	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,398.83	Professional		$676.08	$1,122.02	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $8,709.64	Facility		$1,096.48	$2,570.40	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $5,128.61	Professional		$776.25	$1,348.96	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $2,238.72	Professional		$1,479.11	$1,548.82	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $1,862.09	Professional		$1,348.96	$1,862.09	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,412.54 / $1,819.70	Professional		$5.01	$1,412.54	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $8,912.51	Facility		$4,365.16	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,949.84	Professional		$707.95	$1,047.13	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,548.82	Professional		$1,318.26	$1,318.26	$1,548.82