Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,977.00 / $4,778.89 / $7,119.04	Facility		$2,977.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.16 / $769.08 / $1,132.35	Professional		$558.16	$769.08	$1,132.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.51 / $1,414.07 / $2,021.76	Professional		$1,081.51	$1,414.07	$2,021.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $493.92 / $926.76 / $1,799.88	Professional		$493.92	$926.76	$1,799.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $773.50 / $1,491.80 / $6,558.00	Facility		$773.50	$1,491.80	$6,558.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $224.95 / $224.95 / $224.95	Facility	AS	$224.95	$224.95	$224.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.65 / $1,434.21 / $5,158.63	Professional		$800.65	$1,434.21	$5,158.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,081.51 / $1,524.74 / $2,932.27	Facility		$1,081.51	$1,524.74	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,081.51 / $1,311.23 / $1,913.39	Professional		$1,081.51	$1,311.23	$1,913.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $481.44 / $880.53 / $3,254.15	Professional		$481.44	$880.53	$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 $745.91 / $1,113.95 / $2,266.40	Professional		$745.91	$1,113.95	$2,266.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $953.60 / $1,121.90 / $1,581.70	Professional		$953.60	$1,121.90	$1,581.70