Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,688.05 / $2,688.05 / $26,500.30	Professional		$2,688.05	$2,688.05	$26,500.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.48 / $6,771.16 / $8,463.95	Professional		$1,003.48	$6,771.16	$8,463.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $449.01 / $3,400.40 / $4,619.21	Professional		$449.01	$3,400.40	$4,619.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,118.75 / $8,549.75 / $20,992.43	Facility		$1,118.75	$8,549.75	$20,992.43
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $217.54 / $217.54 / $217.54	Facility	AS	$217.54	$217.54	$217.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,287.46 / $8,348.09 / $16,489.57	Professional		$1,287.46	$8,348.09	$16,489.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,118.75 / $9,444.04 / $13,765.50	Facility		$1,118.75	$9,444.04	$13,765.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,045.84 / $6,301.98 / $9,977.70	Professional		$1,045.84	$6,301.98	$9,977.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $514.47 / $2,615.69 / $14,244.38	Professional		$514.47	$2,615.69	$14,244.38
United Facility/Professional Professional Modifier Low / Median / High Price $4,362.50 / $8,415.16 / $12,033.24	Professional		$4,362.50	$8,415.16	$12,033.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $958.80 / $1,128.00 / $6,797.30	Professional		$958.80	$1,128.00	$6,797.30