Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.13 / $4,033.00 / $7,130.76	Facility		$1,443.13	$4,033.00	$7,130.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.60 / $773.76 / $1,780.49	Professional		$341.60	$773.76	$1,780.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.00 / $1,377.73 / $1,685.78	Professional		$1,175.00	$1,377.73	$1,685.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $563.01 / $970.52 / $2,773.97	Professional		$563.01	$970.52	$2,773.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $937.10 / $1,554.89 / $8,957.00	Facility		$937.10	$1,554.89	$8,957.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $849.00 / $849.00 / $849.00	Facility	AS	$849.00	$849.00	$849.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $651.72 / $1,265.00 / $4,528.97	Professional		$651.72	$1,265.00	$4,528.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,095.60 / $1,462.97 / $2,961.89	Facility		$1,095.60	$1,462.97	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $937.38 / $1,322.42 / $1,797.66	Professional		$937.38	$1,322.42	$1,797.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,448.60 / $4,448.60 / $4,448.60	Facility		$4,448.60	$4,448.60	$4,448.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $582.24 / $1,078.36 / $3,259.56	Professional		$582.24	$1,078.36	$3,259.56
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 $622.09 / $947.95 / $1,747.63	Professional		$622.09	$947.95	$1,747.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $921.22 / $1,166.09 / $1,371.80	Professional		$921.22	$1,166.09	$1,371.80