Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,454.71 / $3,630.78	Facility		$1,000.00	$2,454.71	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,230.27	Professional		$912.01	$1,023.29	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,698.24	Professional		$1,348.96	$1,548.82	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,698.24 / $2,344.23	Professional		$151.36	$1,698.24	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,019.95	Facility		$1,318.26	$1,548.82	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $5,248.07	Professional		$776.25	$1,318.26	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $1,698.24	Professional		$1,548.82	$1,584.89	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,754.23	Professional		$1,258.93	$1,412.54	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,019.95	Facility		$1,318.26	$1,318.26	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $3,311.31	Professional		$776.25	$776.25	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26