Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.94 / $580.65 / $1,184.41	Professional		$336.94	$580.65	$1,184.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.27 / $1,118.98 / $1,424.38	Professional		$697.27	$1,118.98	$1,424.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $386.53 / $664.31 / $1,240.67	Professional		$386.53	$664.31	$1,240.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.50 / $1,013.64 / $3,984.48	Facility		$533.50	$1,013.64	$3,984.48
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $177.12 / $177.12 / $177.12	Facility	AS	$177.12	$177.12	$177.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.29 / $1,013.64 / $3,169.39	Professional		$537.29	$1,013.64	$3,169.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $805.75 / $1,175.40 / $1,597.11	Facility		$805.75	$1,175.40	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $711.00 / $990.86 / $1,414.07	Professional		$711.00	$990.86	$1,414.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $375.16 / $696.60 / $1,727.45	Professional		$375.16	$696.60	$1,727.45
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 $519.13 / $807.46 / $1,503.89	Professional		$519.13	$807.46	$1,503.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $750.80 / $883.30 / $1,219.30	Professional		$750.80	$883.30	$1,219.30