Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,981.07 / $6,760.83	Facility		$1,202.26	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,819.70	Professional		$691.83	$831.76	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,187.76	Professional		$1,380.38	$1,737.80	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $3,311.31	Professional		$676.08	$1,047.13	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $17,782.79	Facility		$1,202.26	$1,995.26	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $6,456.54	Professional		$758.58	$1,479.11	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,041.74	Professional		$1,479.11	$1,698.24	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $2,041.74	Professional		$1,445.44	$1,479.11	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,698.24	Professional		$724.44	$1,288.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $19,498.45	Facility		$8,511.38	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,089.30	Professional		$724.44	$1,071.52	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,737.80	Professional		$1,174.90	$1,479.11	$1,737.80