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 $547.94 / $799.98 / $1,018.24	Professional		$547.94	$799.98	$1,018.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.21 / $1,422.64 / $1,778.30	Professional		$1,072.21	$1,422.64	$1,778.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $580.11 / $924.48 / $2,587.33	Professional		$580.11	$924.48	$2,587.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $975.67 / $1,459.45 / $5,341.00	Facility		$975.67	$1,459.45	$5,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $638.66 / $1,194.58 / $4,645.20	Professional		$638.66	$1,194.58	$4,645.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,105.69 / $1,351.40 / $1,844.09	Facility		$1,105.69	$1,351.40	$1,844.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $1,334.11 / $1,844.09	Professional		$910.86	$1,334.11	$1,844.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.44 / $1,124.67 / $1,729.73	Professional		$602.44	$1,124.67	$1,729.73
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 $617.10 / $940.34 / $1,751.38	Professional		$617.10	$940.34	$1,751.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $974.39 / $1,233.40 / $1,451.10	Professional		$974.39	$1,233.40	$1,451.10