Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.65 / $4,359.00 / $9,000.00	Facility		$1,687.65	$4,359.00	$9,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.09 / $888.24 / $2,814.00	Professional		$593.09	$888.24	$2,814.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.49 / $1,291.33 / $1,601.05	Professional		$1,099.49	$1,291.33	$1,601.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $534.28 / $921.00 / $1,788.92	Professional		$534.28	$921.00	$1,788.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $888.24 / $1,508.78 / $8,077.96	Facility		$888.24	$1,508.78	$8,077.96
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 $599.41 / $1,146.26 / $6,386.47	Professional		$599.41	$1,146.26	$6,386.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,256.18 / $1,508.78 / $2,961.89	Facility		$1,256.18	$1,508.78	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $846.03 / $1,265.00 / $1,664.74	Professional		$846.03	$1,265.00	$1,664.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,619.62 / $1,619.62 / $1,619.62	Facility		$1,619.62	$1,619.62	$1,619.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $539.57 / $1,005.69 / $3,259.56	Professional		$539.57	$1,005.69	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.30 / $919.12 / $1,738.40	Professional		$579.30	$919.12	$1,738.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $875.08 / $1,107.70 / $1,303.09	Professional		$875.08	$1,107.70	$1,303.09