Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,548.13 / $6,760.83	Facility		$707.95	$3,548.13	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $2,511.89	Professional		$436.52	$707.95	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,737.80	Professional		$794.33	$1,288.25	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,621.81	Professional		$446.68	$724.44	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,258.93 / $7,244.36	Facility		$660.69	$1,258.93	$7,244.36
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	AS	$204.17	$204.17	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $3,715.35	Professional		$630.96	$1,202.26	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,584.89	Professional		$1,023.29	$1,202.26	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,584.89	Professional		$870.96	$1,174.90	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $1,258.93	Professional		$426.58	$776.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,479.11	Professional		$467.74	$776.25	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,348.96	Professional		$851.14	$1,023.29	$1,348.96