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 $505.38 / $626.86 / $934.02	Professional		$505.38	$626.86	$934.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.22 / $1,361.09 / $1,701.36	Professional		$1,054.22	$1,361.09	$1,701.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $548.42 / $864.99 / $1,533.33	Professional		$548.42	$864.99	$1,533.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $773.23 / $1,351.40 / $4,645.00	Facility		$773.23	$1,351.40	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.75 / $1,078.22 / $4,417.04	Professional		$575.75	$1,078.22	$4,417.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $1,349.65 / $1,719.96	Facility		$1,006.00	$1,349.65	$1,719.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $825.58 / $1,255.88 / $1,642.61	Professional		$825.58	$1,255.88	$1,642.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $581.52 / $1,075.53 / $1,729.73	Professional		$581.52	$1,075.53	$1,729.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.58 / $837.46 / $1,559.76	Professional		$549.58	$837.46	$1,559.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $925.72 / $1,171.80 / $1,378.60	Professional		$925.72	$1,171.80	$1,378.60