Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,511.89 / $3,715.35	Facility		$1,023.29	$2,511.89	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,348.96	Professional		$933.25	$1,047.13	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $3,235.94	Professional		$1,737.80	$2,570.40	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,737.80 / $2,398.83	Professional		$151.36	$1,737.80	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $3,090.30	Facility		$1,348.96	$1,621.81	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $5,370.32	Professional		$794.33	$1,348.96	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,737.80	Professional		$1,621.81	$1,621.81	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $2,818.38	Professional		$1,348.96	$1,445.44	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $3,090.30	Facility		$1,348.96	$1,348.96	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $3,388.44	Professional		$794.33	$794.33	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96