Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.40 / $1,868.98 / $4,251.00	Professional		$1,177.40	$1,868.98	$4,251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,583.46 / $3,077.84 / $3,649.40	Professional		$2,583.46	$3,077.84	$3,649.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.90 / $2,136.77 / $8,478.01	Professional		$1,287.90	$2,136.77	$8,478.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $890.15 / $3,158.58 / $11,716.00	Facility		$890.15	$3,158.58	$11,716.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $640.19 / $640.19 / $640.19	Facility	AS	$640.19	$640.19	$640.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,370.02 / $3,014.04 / $9,811.12	Professional		$1,370.02	$3,014.04	$9,811.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,535.40 / $2,976.38 / $3,892.89	Facility		$1,535.40	$2,976.38	$3,892.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,661.40 / $2,976.38 / $3,743.49	Professional		$1,661.40	$2,976.38	$3,743.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,440.69 / $3,460.60	Professional		$7.00	$2,440.69	$3,460.60
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 $1,258.91 / $2,565.67 / $4,054.38	Professional		$1,258.91	$2,565.67	$4,054.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $3,192.90	Professional		$2,714.00	$2,714.00	$3,192.90