Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.90 / $4,354.30 / $9,994.29	Facility		$1,628.90	$4,354.30	$9,994.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.73 / $857.32 / $1,879.69	Professional		$539.73	$857.32	$1,879.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.64 / $1,389.14 / $1,736.42	Professional		$1,090.64	$1,389.14	$1,736.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $558.23 / $856.34 / $1,834.07	Professional		$558.23	$856.34	$1,834.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $857.32 / $1,424.53 / $5,301.00	Facility		$857.32	$1,424.53	$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 $616.73 / $1,141.41 / $5,838.31	Professional		$616.73	$1,141.41	$5,838.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $1,481.32 / $1,849.86	Facility		$1,004.00	$1,481.32	$1,849.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $1,342.42 / $1,672.79	Professional		$776.00	$1,342.42	$1,672.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $932.96 / $932.96 / $932.96	Facility		$932.96	$932.96	$932.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $591.51 / $1,093.24 / $1,905.99	Professional		$591.51	$1,093.24	$1,905.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.65 / $897.06 / $1,647.56	Professional		$587.65	$897.06	$1,647.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $943.02 / $1,193.70 / $1,404.30	Professional		$943.02	$1,193.70	$1,404.30