Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.67 / $1,427.46 / $1,505.85	Professional		$871.67	$1,427.46	$1,505.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,831.00 / $2,162.78 / $2,703.48	Professional		$1,831.00	$2,162.78	$2,703.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $902.73 / $1,412.99 / $3,303.67	Professional		$902.73	$1,412.99	$3,303.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,505.85 / $2,429.96 / $14,242.22	Facility		$1,505.85	$2,429.96	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $993.00 / $1,936.00 / $7,090.40	Professional		$993.00	$1,936.00	$7,090.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,758.44 / $2,429.96 / $8,368.79	Facility		$1,758.44	$2,429.96	$8,368.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,429.91 / $2,131.71 / $2,821.93	Professional		$1,429.91	$2,131.71	$2,821.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $941.99 / $1,709.21 / $9,854.54	Professional		$941.99	$1,709.21	$9,854.54
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 $944.90 / $1,441.50 / $2,853.19	Professional		$944.90	$1,441.50	$2,853.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,484.96 / $1,879.70 / $2,211.40	Professional		$1,484.96	$1,879.70	$2,211.40