Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,098.00 / $11,100.08	Facility		$4,964.00	$6,098.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.67 / $823.52 / $1,334.93	Professional		$487.67	$823.52	$1,334.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.32 / $2,013.97 / $2,700.66	Professional		$702.32	$2,013.97	$2,700.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $1,294.34 / $4,020.04	Professional		$297.19	$1,294.34	$4,020.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $734.83 / $2,506.51 / $13,476.00	Facility		$734.83	$2,506.51	$13,476.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $845.14 / $2,268.60 / $10,075.35	Professional		$845.14	$2,268.60	$10,075.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $738.40 / $2,375.00 / $8,100.30	Facility		$738.40	$2,375.00	$8,100.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $702.32 / $1,870.45 / $2,761.41	Professional		$702.32	$1,870.45	$2,761.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $2,383.50 / $2,627.20	Professional		$3.00	$2,383.50	$2,627.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.93 / $1,940.38 / $3,051.65	Professional		$1,124.93	$1,940.38	$3,051.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $572.10 / $673.10 / $1,792.60	Professional		$572.10	$673.10	$1,792.60