Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.12 / $5,549.00 / $10,263.62	Facility		$2,398.12	$5,549.00	$10,263.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.63 / $711.59 / $1,839.86	Professional		$508.63	$711.59	$1,839.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.28 / $1,342.70 / $1,662.40	Professional		$1,145.28	$1,342.70	$1,662.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $534.67 / $811.20 / $1,357.68	Professional		$534.67	$811.20	$1,357.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $811.50 / $1,453.00 / $8,342.00	Facility		$811.50	$1,453.00	$8,342.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $900.13 / $900.13 / $900.13	Facility	AS	$900.13	$900.13	$900.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $633.15 / $1,251.45 / $4,381.43	Professional		$633.15	$1,251.45	$4,381.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $1,600.06 / $3,093.19	Facility		$902.00	$1,600.06	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $783.03 / $1,213.39 / $1,600.06	Professional		$783.03	$1,213.39	$1,600.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $922.40 / $1,523.60	Professional		$4.00	$922.40	$1,523.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.69 / $1,083.19 / $1,711.70	Professional		$604.69	$1,083.19	$1,711.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,118.40 / $1,118.40 / $1,315.80	Professional		$1,118.40	$1,118.40	$1,315.80