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 $683.89 / $791.83 / $1,186.52	Professional		$683.89	$791.83	$1,186.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.00 / $1,709.35 / $2,136.67	Professional		$1,362.00	$1,709.35	$2,136.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $699.01 / $1,114.44 / $3,396.36	Professional		$699.01	$1,114.44	$3,396.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,186.52 / $1,854.62 / $11,139.12	Facility		$1,186.52	$1,854.62	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $779.43 / $1,465.53 / $6,095.88	Professional		$779.43	$1,465.53	$6,095.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $1,854.62 / $8,814.07	Facility		$1,362.00	$1,854.62	$8,814.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,114.67 / $1,683.38 / $2,217.17	Professional		$1,114.67	$1,683.38	$2,217.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $723.24 / $1,351.57 / $10,500.47	Professional		$723.24	$1,351.57	$10,500.47
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 $744.00 / $1,133.71 / $2,111.54	Professional		$744.00	$1,133.71	$2,111.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,172.68 / $1,484.40 / $1,746.30	Professional		$1,172.68	$1,484.40	$1,746.30