Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,917.20 / $7,119.04	Facility		$3,496.00	$4,917.20	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $771.11 / $1,317.02	Professional		$469.97	$771.11	$1,317.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.31 / $1,459.84 / $2,218.04	Professional		$972.31	$1,459.84	$2,218.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $511.29 / $997.13 / $1,754.10	Professional		$511.29	$997.13	$1,754.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $805.36 / $1,406.69 / $8,545.00	Facility		$805.36	$1,406.69	$8,545.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $233.88 / $233.88 / $233.88	Facility	AS	$233.88	$233.88	$233.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $843.21 / $1,578.23 / $4,863.60	Professional		$843.21	$1,578.23	$4,863.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,124.44 / $1,804.21 / $8,370.61	Facility		$1,124.44	$1,804.21	$8,370.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,050.93 / $1,372.73 / $2,218.04	Professional		$1,050.93	$1,372.73	$2,218.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $504.54 / $920.97 / $9,133.57	Professional		$504.54	$920.97	$9,133.57
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 $806.94 / $1,291.09 / $2,402.26	Professional		$806.94	$1,291.09	$2,402.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $991.50 / $1,166.50 / $1,871.60	Professional		$991.50	$1,166.50	$1,871.60