Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,762.47 / $10,471.29	Facility		$1,047.13	$7,762.47	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $1,621.81	Professional		$575.44	$660.69	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $1,862.09	Professional		$1,380.38	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $3,162.28	Professional		$630.96	$1,122.02	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $9,332.54 / $34,673.69	Facility		$831.76	$9,332.54	$34,673.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $2,884.03	Professional		$724.44	$1,288.25	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,398.83	Professional		$1,047.13	$1,584.89	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $1,548.82	Professional		$5.01	$5.01	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $33,884.42	Facility		$8,511.38	$13,489.63	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,995.26	Professional		$676.08	$1,047.13	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,445.44	Professional		$1,230.27	$1,230.27	$1,445.44