Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $930.18 / $991.61	Professional		$570.29	$930.18	$991.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.00 / $1,432.76 / $1,790.96	Professional		$1,149.00	$1,432.76	$1,790.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $582.94 / $928.82 / $1,913.35	Professional		$582.94	$928.82	$1,913.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $991.61 / $1,549.13 / $11,139.12	Facility		$991.61	$1,549.13	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.22 / $1,235.61 / $4,673.04	Professional		$648.22	$1,235.61	$4,673.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,159.92 / $1,553.00 / $6,616.19	Facility		$1,159.92	$1,553.00	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $932.29 / $1,406.54 / $1,839.65	Professional		$932.29	$1,406.54	$1,839.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $619.21 / $1,147.90 / $7,323.26	Professional		$619.21	$1,147.90	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $942.86 / $1,756.08	Professional		$618.75	$942.86	$1,756.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $980.00 / $1,240.50 / $1,459.40	Professional		$980.00	$1,240.50	$1,459.40