Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.38 / $4,014.00 / $9,227.20	Facility		$1,257.38	$4,014.00	$9,227.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.09 / $661.78 / $1,995.67	Professional		$389.09	$661.78	$1,995.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.40 / $1,191.05 / $1,630.46	Professional		$820.40	$1,191.05	$1,630.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $388.02 / $750.54 / $1,707.13	Professional		$388.02	$750.54	$1,707.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $1,118.41 / $5,327.00	Facility		$652.66	$1,118.41	$5,327.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $193.77 / $193.77 / $193.77	Facility	AS	$193.77	$193.77	$193.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $636.19 / $1,181.95 / $4,410.37	Professional		$636.19	$1,181.95	$4,410.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $931.59 / $1,311.48 / $2,197.38	Facility		$931.59	$1,311.48	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $808.05 / $1,174.89 / $1,615.90	Professional		$808.05	$1,174.89	$1,615.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,086.12 / $2,086.12 / $2,086.12	Facility		$2,086.12	$2,086.12	$2,086.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $424.75 / $767.47 / $2,471.88	Professional		$424.75	$767.47	$2,471.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.27 / $972.52 / $1,713.63	Professional		$607.27	$972.52	$1,713.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $821.40 / $966.40 / $1,360.50	Professional		$821.40	$966.40	$1,360.50