Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,981.07 / $6,760.83	Facility		$1,174.90	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,778.28	Professional		$741.31	$954.99	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,089.30	Professional		$1,659.59	$1,737.80	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $1,905.46	Professional		$691.83	$1,258.93	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,570.40 / $8,709.64	Facility		$1,174.90	$2,570.40	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $5,248.07	Professional		$870.96	$1,513.56	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $2,570.40	Professional		$1,548.82	$1,737.80	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,137.96	Professional		$1,513.56	$2,137.96	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,548.82 / $2,089.30	Professional		$5.01	$1,548.82	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $8,912.51	Facility		$4,365.16	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $2,238.72	Professional		$776.25	$1,202.26	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,548.82	Professional		$1,318.26	$1,318.26	$1,548.82