Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,119.82 / $4,505.00 / $7,120.36	Facility		$2,119.82	$4,505.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $653.77 / $1,662.92	Professional		$565.49	$653.77	$1,662.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,463.53 / $1,664.13 / $1,978.48	Professional		$1,463.53	$1,664.13	$1,978.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $688.73 / $1,078.19 / $1,717.74	Professional		$688.73	$1,078.19	$1,717.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,104.72 / $2,143.73 / $14,428.30	Facility		$1,104.72	$2,143.73	$14,428.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,618.01 / $1,618.01 / $1,618.01	Facility	AS	$1,618.01	$1,618.01	$1,618.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.18 / $1,640.31 / $2,346.29	Professional		$815.18	$1,640.31	$2,346.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,239.73 / $1,978.48 / $5,661.05	Facility		$1,239.73	$1,978.48	$5,661.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,051.00 / $1,463.53 / $2,135.86	Professional		$1,051.00	$1,463.53	$2,135.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $744.71 / $1,393.73 / $6,311.31	Professional		$744.71	$1,393.73	$6,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $779.74 / $1,465.59 / $2,307.52	Professional		$779.74	$1,465.59	$2,307.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,172.83 / $1,484.60 / $1,746.60	Professional		$1,172.83	$1,484.60	$1,746.60