Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,365.79 / $4,235.59 / $8,260.00	Facility		$2,365.79	$4,235.59	$8,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.97 / $587.60 / $1,180.69	Professional		$277.97	$587.60	$1,180.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.31 / $1,174.88 / $1,468.60	Professional		$913.31	$1,174.88	$1,468.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $466.36 / $734.42 / $2,062.64	Professional		$466.36	$734.42	$2,062.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $714.92 / $1,208.21 / $5,301.00	Facility		$714.92	$1,208.21	$5,301.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $497.27 / $497.27 / $497.27	Facility	AS	$497.27	$497.27	$497.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.12 / $979.65 / $5,389.20	Professional		$523.12	$979.65	$5,389.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $949.91 / $1,263.65 / $1,750.65	Facility		$949.91	$1,263.65	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $750.22 / $1,128.80 / $1,486.95	Professional		$750.22	$1,128.80	$1,486.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $474.76 / $881.47 / $1,905.99	Professional		$474.76	$881.47	$1,905.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,564.02 / $4,898.00 / $7,155.00	Facility		$2,564.02	$4,898.00	$7,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.48 / $760.90 / $1,426.68	Professional		$497.48	$760.90	$1,426.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $786.37 / $995.40 / $1,171.00	Professional		$786.37	$995.40	$1,171.00