Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.47 / $1,207.78 / $1,207.78	Professional		$762.47	$1,207.78	$1,207.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.00 / $2,018.93 / $2,311.01	Professional		$1,778.00	$2,018.93	$2,311.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $734.47 / $1,258.55 / $2,134.53	Professional		$734.47	$1,258.55	$2,134.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,207.78 / $2,136.92 / $14,396.24	Facility		$1,207.78	$2,136.92	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $930.16 / $1,814.81 / $6,087.44	Professional		$930.16	$1,814.81	$6,087.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $2,323.31 / $5,383.60	Facility		$1,331.00	$2,323.31	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,778.00 / $2,323.31	Professional		$1,218.00	$1,778.00	$2,323.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,422.20 / $2,145.19	Professional		$7.00	$1,422.20	$2,145.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $862.41 / $1,591.63 / $2,441.21	Professional		$862.41	$1,591.63	$2,441.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,505.50 / $1,505.50 / $1,771.20	Professional		$1,505.50	$1,505.50	$1,771.20