Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.98 / $5,131.85 / $7,887.42	Facility		$1,625.98	$5,131.85	$7,887.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.57 / $855.78 / $2,980.25	Professional		$505.57	$855.78	$2,980.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.52 / $1,245.29 / $1,546.51	Professional		$1,059.52	$1,245.29	$1,546.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $515.24 / $887.58 / $2,039.00	Professional		$515.24	$887.58	$2,039.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $855.78 / $1,439.67 / $8,077.96	Facility		$855.78	$1,439.67	$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 $577.54 / $1,104.05 / $4,808.85	Professional		$577.54	$1,104.05	$4,808.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,178.00 / $1,439.67 / $2,961.89	Facility		$1,178.00	$1,439.67	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $814.20 / $1,211.06 / $1,603.57	Professional		$814.20	$1,211.06	$1,603.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,643.72 / $1,643.72 / $1,643.72	Facility		$1,643.72	$1,643.72	$1,643.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $970.88 / $3,259.56	Professional		$521.14	$970.88	$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 $536.05 / $842.39 / $1,649.09	Professional		$536.05	$842.39	$1,649.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $843.64 / $1,067.90 / $1,256.30	Professional		$843.64	$1,067.90	$1,256.30