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 $689.43 / $1,122.65 / $1,188.71	Professional		$689.43	$1,122.65	$1,188.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,448.14 / $1,712.46 / $2,140.58	Professional		$1,448.14	$1,712.46	$2,140.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $715.95 / $1,115.06 / $2,394.73	Professional		$715.95	$1,115.06	$2,394.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,188.71 / $1,957.41 / $7,896.02	Facility		$1,188.71	$1,957.41	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.22 / $1,528.98 / $6,151.33	Professional		$788.22	$1,528.98	$6,151.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,390.31 / $1,969.69 / $2,961.89	Facility		$1,390.31	$1,969.69	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,120.94 / $1,698.77 / $2,221.88	Professional		$1,120.94	$1,698.77	$2,221.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $726.57 / $1,331.32 / $3,259.56	Professional		$726.57	$1,331.32	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.51 / $1,171.97 / $2,226.85	Professional		$744.51	$1,171.97	$2,226.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.18 / $1,486.30 / $1,748.60	Professional		$1,174.18	$1,486.30	$1,748.60