Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.42 / $3,701.00 / $8,042.03	Facility		$780.42	$3,701.00	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.45 / $960.75 / $1,825.42	Professional		$559.45	$960.75	$1,825.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.15 / $1,615.34 / $2,913.83	Professional		$1,139.15	$1,615.34	$2,913.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $603.45 / $1,213.08 / $2,074.19	Professional		$603.45	$1,213.08	$2,074.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $960.75 / $1,626.53 / $9,874.90	Facility		$960.75	$1,626.53	$9,874.90
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $275.97 / $275.97 / $275.97	Facility	AS	$275.97	$275.97	$275.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,034.96 / $1,902.37 / $5,788.27	Professional		$1,034.96	$1,902.37	$5,788.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,159.55 / $2,007.71 / $15,810.04	Facility		$1,159.55	$2,007.71	$15,810.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,159.55 / $1,615.34 / $2,516.58	Professional		$1,159.55	$1,615.34	$2,516.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $596.22 / $1,086.32 / $19,806.31	Professional		$596.22	$1,086.32	$19,806.31
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 $953.17 / $1,605.34 / $2,989.95	Professional		$953.17	$1,605.34	$2,989.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,169.90 / $1,376.40 / $2,278.60	Professional		$1,169.90	$1,376.40	$2,278.60