Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.64 / $856.99 / $912.50	Professional		$508.64	$856.99	$912.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.84 / $1,317.46 / $1,646.82	Professional		$1,026.84	$1,317.46	$1,646.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $535.65 / $853.31 / $1,759.75	Professional		$535.65	$853.31	$1,759.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $815.99 / $1,424.60 / $14,242.22	Facility		$815.99	$1,424.60	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $595.34 / $1,116.21 / $4,297.43	Professional		$595.34	$1,116.21	$4,297.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,066.83 / $1,424.60 / $6,616.19	Facility		$1,066.83	$1,424.60	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $853.43 / $1,292.61 / $1,690.64	Professional		$853.43	$1,292.61	$1,690.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $568.87 / $1,054.29 / $9,271.39	Professional		$568.87	$1,054.29	$9,271.39
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $567.41 / $865.95 / $1,612.84	Professional		$567.41	$865.95	$1,612.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $900.92 / $1,140.40 / $1,341.60	Professional		$900.92	$1,140.40	$1,341.60