Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $7,943.28	Facility		$1,202.26	$3,630.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $2,570.40	Professional		$549.54	$851.14	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,778.28	Professional		$1,096.48	$1,412.54	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,905.46	Professional		$512.86	$776.25	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,479.11 / $6,025.60	Facility		$851.14	$1,479.11	$6,025.60
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	AS	$501.19	$501.19	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $5,888.44	Professional		$588.84	$1,122.02	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,621.81	Professional		$1,096.48	$1,348.96	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,621.81	Professional		$1,148.15	$1,148.15	$1,621.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,348.96	Professional		$575.44	$1,023.29	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,413.10	Facility		$3,019.95	$5,370.32	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,659.59	Professional		$562.34	$831.76	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,412.54	Professional		$933.25	$1,202.26	$1,412.54