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 $732.60 / $1,161.94 / $1,325.18	Professional		$732.60	$1,161.94	$1,325.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,470.92 / $1,901.78 / $2,377.23	Professional		$1,470.92	$1,901.78	$2,377.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $752.09 / $1,193.16 / $2,613.81	Professional		$752.09	$1,193.16	$2,613.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,229.06 / $2,040.78 / $11,139.12	Facility		$1,229.06	$2,040.78	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $825.12 / $1,575.23 / $6,185.76	Professional		$825.12	$1,575.23	$6,185.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,453.00 / $2,049.57 / $7,787.27	Facility		$1,453.00	$2,049.57	$7,787.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,163.00 / $1,757.71 / $2,287.86	Professional		$1,163.00	$1,757.71	$2,287.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $807.26 / $1,488.27 / $8,832.94	Professional		$807.26	$1,488.27	$8,832.94
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 $787.62 / $1,200.18 / $2,250.33	Professional		$787.62	$1,200.18	$2,250.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,280.11 / $1,620.40 / $1,906.40	Professional		$1,280.11	$1,620.40	$1,906.40