Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,853.58 / $3,789.00 / $7,119.04	Facility		$1,853.58	$3,789.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.25 / $736.17 / $1,853.58	Professional		$669.25	$736.17	$1,853.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.43 / $1,547.77 / $1,739.03	Professional		$1,363.43	$1,547.77	$1,739.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $601.34 / $948.30 / $1,527.91	Professional		$601.34	$948.30	$1,527.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,003.63 / $1,935.01 / $9,495.24	Facility		$1,003.63	$1,935.01	$9,495.24
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $854.12 / $854.12 / $854.12	Facility	AS	$854.12	$854.12	$854.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $747.23 / $1,469.23 / $2,122.19	Professional		$747.23	$1,469.23	$2,122.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,000.24 / $1,899.86 / $3,018.60	Facility		$1,000.24	$1,899.86	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $953.00 / $1,412.66 / $1,899.86	Professional		$953.00	$1,412.66	$1,899.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $650.46 / $1,218.73 / $3,273.79	Professional		$650.46	$1,218.73	$3,273.79
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 $716.09 / $1,440.67 / $2,027.04	Professional		$716.09	$1,440.67	$2,027.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.13 / $1,295.09 / $1,523.70	Professional		$1,023.13	$1,295.09	$1,523.70