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 $570.97 / $681.41 / $901.22	Professional		$570.97	$681.41	$901.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.28 / $1,336.99 / $1,774.40	Professional		$1,023.28	$1,336.99	$1,774.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $427.05 / $861.95 / $1,518.72	Professional		$427.05	$861.95	$1,518.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $862.74 / $1,421.86 / $11,869.99	Facility		$862.74	$1,421.86	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $760.85 / $1,421.52 / $4,551.12	Professional		$760.85	$1,421.52	$4,551.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,023.28 / $1,456.27 / $5,383.60	Facility		$1,023.28	$1,456.27	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $900.43 / $1,235.82 / $1,644.06	Professional		$900.43	$1,235.82	$1,644.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,198.09 / $1,610.90	Professional		$5.00	$1,198.09	$1,610.90
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 $684.16 / $1,380.24 / $1,936.64	Professional		$684.16	$1,380.24	$1,936.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $866.40 / $1,019.40 / $1,337.60	Professional		$866.40	$1,019.40	$1,337.60