Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,398.83 / $3,467.37	Facility		$977.24	$2,398.83	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,258.93	Professional		$891.25	$1,000.00	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,019.95	Professional		$2,398.83	$2,398.83	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,659.59 / $2,290.87	Professional		$151.36	$1,659.59	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,884.03	Facility		$1,258.93	$1,513.56	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $6,309.57	Professional		$758.58	$1,258.93	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $2,691.53	Professional		$1,258.93	$1,380.38	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,884.03	Facility		$1,258.93	$1,258.93	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $3,162.28	Professional		$758.58	$758.58	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93