Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,421.00 / $5,091.00 / $7,119.04	Facility		$3,421.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.41 / $735.25 / $1,635.92	Professional		$511.41	$735.25	$1,635.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.64 / $1,335.18 / $1,981.84	Professional		$1,027.64	$1,335.18	$1,981.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $445.69 / $915.41 / $1,635.03	Professional		$445.69	$915.41	$1,635.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $735.25 / $1,395.03 / $5,567.24	Facility		$735.25	$1,395.03	$5,567.24
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $213.75 / $213.75 / $213.75	Facility	AS	$213.75	$213.75	$213.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $781.68 / $1,406.79 / $5,073.47	Professional		$781.68	$1,406.79	$5,073.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,027.64 / $1,499.27 / $2,932.27	Facility		$1,027.64	$1,499.27	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,027.64 / $1,349.09 / $1,878.38	Professional		$1,027.64	$1,349.09	$1,878.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $460.27 / $839.09 / $3,254.15	Professional		$460.27	$839.09	$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 $717.72 / $1,093.66 / $2,030.81	Professional		$717.72	$1,093.66	$2,030.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $906.20 / $1,066.09 / $1,555.30	Professional		$906.20	$1,066.09	$1,555.30