Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.72 / $498.27 / $1,951.96	Professional		$491.72	$498.27	$1,951.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.78 / $932.97 / $1,501.72	Professional		$510.78	$932.97	$1,501.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.60 / $635.24 / $1,167.85	Professional		$304.60	$635.24	$1,167.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.27 / $870.61 / $7,123.00	Facility		$498.27	$870.61	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $531.26 / $870.61 / $2,458.56	Professional		$531.26	$870.61	$2,458.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $736.91 / $1,145.69 / $2,256.42	Facility		$736.91	$1,145.69	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $635.48 / $870.61 / $1,427.25	Professional		$635.48	$870.61	$1,427.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $335.72 / $615.24 / $2,471.88	Professional		$335.72	$615.24	$2,471.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.32 / $724.44 / $1,261.94	Professional		$528.32	$724.44	$1,261.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $597.60 / $703.10 / $1,100.70	Professional		$597.60	$703.10	$1,100.70