Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,949.16 / $2,949.16 / $33,645.69	Professional		$2,949.16	$2,949.16	$33,645.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.76 / $1,380.95 / $11,384.60	Professional		$1,104.76	$1,380.95	$11,384.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $493.20 / $4,153.82 / $6,191.56	Professional		$493.20	$4,153.82	$6,191.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,229.97 / $9,839.08 / $20,992.43	Facility		$1,229.97	$9,839.08	$20,992.43
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $238.88 / $238.88 / $238.88	Facility	AS	$238.88	$238.88	$238.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,413.57 / $10,249.76 / $19,319.30	Professional		$1,413.57	$10,249.76	$19,319.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,227.83 / $10,443.84 / $13,206.26	Facility		$1,227.83	$10,443.84	$13,206.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.47 / $8,442.43 / $12,927.54	Professional		$1,148.47	$8,442.43	$12,927.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.03 / $3,488.86 / $13,107.14	Professional		$564.03	$3,488.86	$13,107.14
United Facility/Professional Professional Modifier Low / Median / High Price $5,286.75 / $9,637.62 / $15,216.63	Professional		$5,286.75	$9,637.62	$15,216.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,052.90 / $1,238.70 / $9,106.00	Professional		$1,052.90	$1,238.70	$9,106.00