Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.17 / $5,091.00 / $7,943.37	Facility		$1,795.17	$5,091.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.79 / $944.83 / $1,595.93	Professional		$627.79	$944.83	$1,595.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.25 / $1,717.92 / $2,909.94	Professional		$1,303.25	$1,717.92	$2,909.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $601.99 / $1,259.88 / $2,180.16	Professional		$601.99	$1,259.88	$2,180.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,026.77 / $1,787.44 / $8,545.00	Facility		$1,026.77	$1,787.44	$8,545.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $275.06 / $275.06 / $275.06	Facility	AS	$275.06	$275.06	$275.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,019.40 / $1,885.87 / $6,341.82	Professional		$1,019.40	$1,885.87	$6,341.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,322.42 / $2,192.13 / $8,058.29	Facility		$1,322.42	$2,192.13	$8,058.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,303.25 / $1,713.98 / $2,685.37	Professional		$1,303.25	$1,713.98	$2,685.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $593.60 / $1,090.91 / $9,225.34	Professional		$593.60	$1,090.91	$9,225.34
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 $997.70 / $1,547.17 / $2,881.60	Professional		$997.70	$1,547.17	$2,881.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,166.09 / $1,371.80 / $2,274.10	Professional		$1,166.09	$1,371.80	$2,274.10