Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.74 / $3,701.00 / $7,119.04	Facility		$1,561.74	$3,701.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $821.97 / $2,129.17	Professional		$488.01	$821.97	$2,129.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,009.67 / $1,492.95 / $2,367.16	Professional		$1,009.67	$1,492.95	$2,367.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $523.07 / $1,124.97 / $1,911.69	Professional		$523.07	$1,124.97	$1,911.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $897.48 / $1,453.63 / $6,558.00	Facility		$897.48	$1,453.63	$6,558.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $237.82 / $237.82 / $237.82	Facility	AS	$237.82	$237.82	$237.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $899.98 / $1,698.99 / $5,505.35	Professional		$899.98	$1,698.99	$5,505.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,143.35 / $1,914.84 / $2,932.27	Facility		$1,143.35	$1,914.84	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,125.96 / $1,420.50 / $2,370.83	Professional		$1,125.96	$1,420.50	$2,370.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $510.51 / $932.84 / $3,254.15	Professional		$510.51	$932.84	$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 $880.35 / $1,394.24 / $2,596.96	Professional		$880.35	$1,394.24	$2,596.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,008.20 / $1,186.09 / $1,986.40	Professional		$1,008.20	$1,186.09	$1,986.40