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 $286.51 / $463.45 / $727.65	Professional		$286.51	$463.45	$727.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.55 / $903.76 / $1,305.91	Professional		$605.55	$903.76	$1,305.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $314.99 / $613.54 / $842.26	Professional		$314.99	$613.54	$842.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.70 / $864.83 / $3,984.48	Facility		$490.70	$864.83	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $488.32 / $904.20 / $3,087.28	Professional		$488.32	$904.20	$3,087.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $692.15 / $1,012.37 / $1,597.11	Facility		$692.15	$1,012.37	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $623.19 / $865.56 / $1,226.21	Professional		$623.19	$865.56	$1,226.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.11 / $562.87 / $1,727.45	Professional		$308.11	$562.87	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.49 / $702.29 / $1,308.01	Professional		$455.49	$702.29	$1,308.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $610.29 / $718.00 / $1,050.20	Professional		$610.29	$718.00	$1,050.20