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 $880.56 / $1,452.43 / $1,522.23	Professional		$880.56	$1,452.43	$1,522.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,868.60 / $2,173.69 / $2,717.11	Professional		$1,868.60	$2,173.69	$2,717.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $913.42 / $1,429.79 / $3,078.56	Professional		$913.42	$1,429.79	$3,078.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,522.23 / $2,555.96 / $14,242.22	Facility		$1,522.23	$2,555.96	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,013.29 / $1,975.03 / $7,513.81	Professional		$1,013.29	$1,975.03	$7,513.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,773.21 / $2,570.88 / $8,332.41	Facility		$1,773.21	$2,570.88	$8,332.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,450.97 / $2,180.00 / $2,857.98	Professional		$1,450.97	$2,180.00	$2,857.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,712.39 / $1,712.39 / $1,712.39	Professional		$1,712.39	$1,712.39	$1,712.39
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 $983.14 / $1,532.43 / $2,975.70	Professional		$983.14	$1,532.43	$2,975.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,497.60 / $1,895.70 / $2,230.30	Professional		$1,497.60	$1,895.70	$2,230.30