Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.12 / $629.08 / $1,245.96	Professional		$392.12	$629.08	$1,245.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.02 / $938.82 / $1,173.52	Professional		$735.02	$938.82	$1,173.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $606.98 / $1,218.91	Professional		$390.20	$606.98	$1,218.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $499.19 / $1,024.30 / $6,608.00	Facility		$499.19	$1,024.30	$6,608.00
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 $437.05 / $814.72 / $2,774.62	Professional		$437.05	$814.72	$2,774.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $764.05 / $1,112.08 / $2,256.42	Facility		$764.05	$1,112.08	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $550.76 / $936.68 / $1,228.78	Professional		$550.76	$936.68	$1,228.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $419.56 / $780.71 / $2,476.73	Professional		$419.56	$780.71	$2,476.73
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 $415.20 / $629.16 / $1,179.69	Professional		$415.20	$629.16	$1,179.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $652.46 / $825.90 / $971.70	Professional		$652.46	$825.90	$971.70