Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.00 / $4,612.00 / $7,797.38	Facility		$1,147.00	$4,612.00	$7,797.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.87 / $918.73 / $1,822.65	Professional		$580.87	$918.73	$1,822.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.86 / $1,619.90 / $2,228.23	Professional		$1,157.86	$1,619.90	$2,228.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $576.70 / $1,045.10 / $2,029.46	Professional		$576.70	$1,045.10	$2,029.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $918.73 / $1,552.65 / $10,188.00	Facility		$918.73	$1,552.65	$10,188.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $264.92 / $264.92 / $264.92	Facility	AS	$264.92	$264.92	$264.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $875.45 / $1,593.64 / $5,798.24	Professional		$875.45	$1,593.64	$5,798.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,273.64 / $1,697.94 / $9,248.11	Facility		$1,273.64	$1,697.94	$9,248.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,212.02 / $1,550.48 / $2,096.92	Professional		$1,212.02	$1,550.48	$2,096.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $574.03 / $1,071.79 / $10,207.20	Professional		$574.03	$1,071.79	$10,207.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $788.22 / $1,218.02 / $2,249.71	Professional		$788.22	$1,218.02	$2,249.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,123.09 / $1,321.30 / $1,761.40	Professional		$1,123.09	$1,321.30	$1,761.40