Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,370.32 / $8,511.38	Facility		$1,995.26	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $5,248.07	Professional		$1,148.15	$1,737.80	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $3,311.31	Professional		$1,584.89	$2,630.27	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $5,128.61	Professional		$812.83	$1,380.38	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $11,748.98	Facility		$1,862.09	$3,981.07	$11,748.98
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	AS	$1,122.02	$1,122.02	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $11,220.18	Professional		$1,318.26	$2,454.71	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $3,019.95	Professional		$2,454.71	$2,691.53	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,137.96	Professional		$954.99	$1,698.24	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $12,589.25	Facility		$6,025.60	$8,912.51	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $3,548.13	Professional		$1,202.26	$1,905.46	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,511.89	Professional		$1,698.24	$2,344.23	$2,511.89