Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.74 / $670.86 / $1,004.35	Professional		$581.74	$670.86	$1,004.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.00 / $1,449.91 / $1,812.38	Professional		$1,153.00	$1,449.91	$1,812.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $591.82 / $943.14 / $2,840.23	Professional		$591.82	$943.14	$2,840.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,004.35 / $1,570.48 / $7,896.02	Facility		$1,004.35	$1,570.48	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $659.86 / $1,252.47 / $5,110.16	Professional		$659.86	$1,252.47	$5,110.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $1,570.48 / $2,961.89	Facility		$1,153.00	$1,570.48	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $953.24 / $1,426.48 / $1,884.80	Professional		$953.24	$1,426.48	$1,884.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $614.54 / $1,147.65 / $3,259.56	Professional		$614.54	$1,147.65	$3,259.56
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 $629.86 / $959.79 / $1,787.61	Professional		$629.86	$959.79	$1,787.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $993.66 / $1,257.80 / $1,479.80	Professional		$993.66	$1,257.80	$1,479.80