Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,248.07 / $7,943.28	Facility		$2,290.87	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $5,754.40	Professional		$1,348.96	$2,041.74	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $3,890.45	Professional		$1,862.09	$3,090.30	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $5,888.44	Professional		$954.99	$1,621.81	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,897.79 / $13,182.57	Facility		$2,137.96	$4,897.79	$13,182.57
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	AS	$1,412.54	$1,412.54	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $11,481.54	Professional		$1,548.82	$2,884.03	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,467.37	Professional		$2,818.38	$3,090.30	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $2,511.89	Professional		$1,096.48	$1,949.84	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,000.00 / $14,125.38	Facility		$6,918.31	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $4,168.69	Professional		$1,412.54	$2,187.76	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $2,884.03	Professional		$1,949.84	$2,691.53	$2,884.03