Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,248.07 / $26,302.68	Facility		$2,238.72	$5,248.07	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $6,606.93	Professional		$1,258.93	$2,137.96	$6,606.93
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $177.83 / $630.96 / $1,230.27	Professional	AS	$177.83	$630.96	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $4,073.80	Professional		$2,630.27	$3,311.31	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $6,309.57	Professional		$1,348.96	$2,041.74	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $44,668.36	Facility		$2,238.72	$3,801.89	$44,668.36
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility	AS	$7,762.47	$7,762.47	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $10,715.19	Professional		$1,513.56	$2,884.03	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,388.44 / $3,890.45	Professional		$3,090.30	$3,388.44	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,884.03 / $3,890.45	Professional		$2,818.38	$2,884.03	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $3,162.28	Professional		$1,348.96	$2,398.83	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $46,773.51	Facility		$10,471.29	$16,218.10	$46,773.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,073.80	Professional		$1,445.44	$2,089.30	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,311.31	Professional		$2,238.72	$2,818.38	$3,311.31