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 $483.79 / $828.65 / $1,021.85	Professional		$483.79	$828.65	$1,021.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.11 / $1,210.00 / $1,487.11	Professional		$1,081.11	$1,210.00	$1,487.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $480.74 / $739.27 / $2,286.33	Professional		$480.74	$739.27	$2,286.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $771.73 / $1,400.33 / $12,257.52	Facility		$771.73	$1,400.33	$12,257.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $1,137.56 / $4,548.79	Professional		$583.04	$1,137.56	$4,548.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,137.56 / $1,346.32 / $6,616.19	Facility		$1,137.56	$1,346.32	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $981.20 / $1,229.55 / $1,572.59	Professional		$981.20	$1,229.55	$1,572.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $491.84 / $899.57 / $7,323.26	Professional		$491.84	$899.57	$7,323.26
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 $538.46 / $838.48 / $1,650.40	Professional		$538.46	$838.48	$1,650.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $792.45 / $1,003.10 / $1,180.09	Professional		$792.45	$1,003.10	$1,180.09