Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.17 / $4,014.00 / $7,119.04	Facility		$1,412.17	$4,014.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $692.19 / $1,043.10	Professional		$433.23	$692.19	$1,043.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.92 / $1,258.32 / $1,892.24	Professional		$894.92	$1,258.32	$1,892.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $469.51 / $882.34 / $1,879.58	Professional		$469.51	$882.34	$1,879.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $743.25 / $1,256.08 / $6,558.00	Facility		$743.25	$1,256.08	$6,558.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $215.87 / $215.87 / $215.87	Facility	AS	$215.87	$215.87	$215.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.27 / $1,294.23 / $4,428.67	Professional		$705.27	$1,294.23	$4,428.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,037.83 / $1,437.39 / $2,932.27	Facility		$1,037.83	$1,437.39	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $958.95 / $1,242.20 / $1,769.06	Professional		$958.95	$1,242.20	$1,769.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $466.11 / $847.96 / $3,254.15	Professional		$466.11	$847.96	$3,254.15
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.85 / $1,007.25 / $1,876.00	Professional		$657.85	$1,007.25	$1,876.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $915.10 / $1,076.59 / $1,491.10	Professional		$915.10	$1,076.59	$1,491.10