Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.64 / $557.55 / $839.38	Professional		$335.64	$557.55	$839.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.33 / $1,004.07 / $1,493.92	Professional		$724.33	$1,004.07	$1,493.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.35 / $691.12 / $1,687.52	Professional		$340.35	$691.12	$1,687.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.11 / $1,013.27 / $5,567.24	Facility		$563.11	$1,013.27	$5,567.24
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $160.77 / $160.77 / $160.77	Facility	AS	$160.77	$160.77	$160.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.13 / $1,096.01 / $3,894.80	Professional		$580.13	$1,096.01	$3,894.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $772.92 / $1,176.41 / $2,932.27	Facility		$772.92	$1,176.41	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $734.33 / $1,054.07 / $1,430.76	Professional		$734.33	$1,054.07	$1,430.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.05 / $638.51 / $3,254.15	Professional		$346.05	$638.51	$3,254.15
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 $537.48 / $819.02 / $1,666.36	Professional		$537.48	$819.02	$1,666.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $681.50 / $801.80 / $1,172.50	Professional		$681.50	$801.80	$1,172.50