Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,827.05 / $2,827.05 / $69,224.80	Professional		$2,827.05	$2,827.05	$69,224.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.46 / $1,320.57 / $22,376.73	Professional		$1,056.46	$1,320.57	$22,376.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $472.66 / $4,952.32 / $12,073.66	Professional		$472.66	$4,952.32	$12,073.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,176.79 / $14,409.56 / $24,990.46	Facility		$1,176.79	$14,409.56	$24,990.46
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $229.04 / $229.04 / $229.04	Facility	AS	$229.04	$229.04	$229.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,354.72 / $19,209.50 / $31,893.55	Professional		$1,354.72	$19,209.50	$31,893.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,176.69 / $13,331.19 / $23,840.13	Facility		$1,176.69	$13,331.19	$23,840.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,101.15 / $15,015.32 / $25,592.88	Professional		$1,101.15	$15,015.32	$25,592.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $541.70 / $6,733.27 / $15,044.09	Professional		$541.70	$6,733.27	$15,044.09
United Facility/Professional Professional Modifier Low / Median / High Price $10,723.75 / $18,953.23 / $30,355.67	Professional		$10,723.75	$18,953.23	$30,355.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,009.50 / $1,187.70 / $17,745.70	Professional		$1,009.50	$1,187.70	$17,745.70