Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.71 / $1,383.42 / $4,389.00	Professional		$872.71	$1,383.42	$4,389.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,917.78 / $2,436.10 / $2,768.29	Professional		$1,917.78	$2,436.10	$2,768.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $951.66 / $1,576.64 / $7,832.47	Professional		$951.66	$1,576.64	$7,832.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $890.15 / $2,327.44 / $10,188.00	Facility		$890.15	$2,327.44	$10,188.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $474.74 / $474.74 / $474.74	Facility	AS	$474.74	$474.74	$474.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,052.61 / $2,215.07 / $7,269.60	Professional		$1,052.61	$2,215.07	$7,269.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,462.62 / $2,185.96 / $2,859.10	Facility		$1,462.62	$2,185.96	$2,859.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,462.62 / $2,196.56 / $2,948.62	Professional		$1,462.62	$2,196.56	$2,948.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,797.10 / $2,567.00	Professional		$7.00	$1,797.10	$2,567.00
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 $1,006.85 / $1,922.26 / $2,979.64	Professional		$1,006.85	$1,922.26	$2,979.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,012.50 / $2,012.50 / $2,367.69	Professional		$2,012.50	$2,012.50	$2,367.69