Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.61 / $2,906.00 / $6,066.00	Facility		$755.61	$2,906.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.13 / $774.68 / $1,821.54	Professional		$273.13	$774.68	$1,821.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.74 / $1,712.45 / $2,298.35	Professional		$568.74	$1,712.45	$2,298.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $236.86 / $1,077.34 / $1,727.68	Professional		$236.86	$1,077.34	$1,727.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.34 / $1,866.93 / $8,545.00	Facility		$625.34	$1,866.93	$8,545.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $116.26 / $116.26 / $116.26	Facility	AS	$116.26	$116.26	$116.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $606.64 / $1,657.43 / $3,050.66	Professional		$606.64	$1,657.43	$3,050.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $609.58 / $1,735.38 / $3,018.60	Facility		$609.58	$1,735.38	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $548.55 / $1,396.56 / $2,190.31	Professional		$548.55	$1,396.56	$2,190.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.68 / $730.01 / $3,215.07	Professional		$251.68	$730.01	$3,215.07
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 $877.89 / $1,572.56 / $2,485.03	Professional		$877.89	$1,572.56	$2,485.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.40 / $602.90 / $1,851.00	Professional		$512.40	$602.90	$1,851.00