Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.05 / $2,977.00 / $7,097.36	Facility		$1,170.05	$2,977.00	$7,097.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $602.62 / $1,610.00	Professional		$347.68	$602.62	$1,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.84 / $1,069.88 / $1,525.26	Professional		$741.84	$1,069.88	$1,525.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $392.02 / $709.10 / $1,255.50	Professional		$392.02	$709.10	$1,255.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $615.82 / $1,040.74 / $5,567.24	Facility		$615.82	$1,040.74	$5,567.24
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $179.69 / $179.69 / $179.69	Facility	AS	$179.69	$179.69	$179.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $599.92 / $1,097.35 / $3,595.25	Professional		$599.92	$1,097.35	$3,595.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $863.89 / $1,244.54 / $2,932.27	Facility		$863.89	$1,244.54	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $771.74 / $1,036.45 / $1,515.24	Professional		$771.74	$1,036.45	$1,515.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $385.21 / $705.32 / $3,254.15	Professional		$385.21	$705.32	$3,254.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.29 / $872.62 / $1,625.26	Professional		$563.29	$872.62	$1,625.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $761.80 / $896.20 / $1,291.09	Professional		$761.80	$896.20	$1,291.09