Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,142.47 / $5,091.00 / $8,023.41	Facility		$3,142.47	$5,091.00	$8,023.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $685.88 / $1,710.00	Professional		$412.16	$685.88	$1,710.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.25 / $1,070.23 / $1,219.29	Professional		$845.25	$1,070.23	$1,219.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $409.06 / $639.57 / $1,255.05	Professional		$409.06	$639.57	$1,255.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $1,166.26 / $7,350.19	Facility		$557.00	$1,166.26	$7,350.19
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $526.16 / $997.50 / $3,228.96	Professional		$526.16	$997.50	$3,228.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $1,288.20 / $2,256.42	Facility		$557.00	$1,288.20	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $604.04 / $979.61 / $1,371.32	Professional		$604.04	$979.61	$1,371.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.90 / $853.70 / $1,124.59	Professional		$555.90	$853.70	$1,124.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.63 / $914.18 / $1,341.80	Professional		$494.63	$914.18	$1,341.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $863.80 / $863.80 / $1,016.20	Professional		$863.80	$863.80	$1,016.20