Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $9,185.68	Facility		$4,146.00	$5,091.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.21 / $569.86 / $764.00	Professional		$360.21	$569.86	$764.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.99 / $1,148.47 / $1,518.27	Professional		$860.99	$1,148.47	$1,518.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $738.23 / $1,315.77	Professional		$360.80	$738.23	$1,315.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,261.73 / $11,869.99	Facility		$764.00	$1,261.73	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $714.26 / $1,257.53 / $3,936.22	Professional		$714.26	$1,257.53	$3,936.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $860.99 / $1,286.45 / $5,383.60	Facility		$860.99	$1,286.45	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $839.06 / $1,115.29 / $1,436.54	Professional		$839.06	$1,115.29	$1,436.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,073.20 / $1,352.50	Professional		$5.00	$1,073.20	$1,352.50
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 $644.17 / $1,153.93 / $1,823.49	Professional		$644.17	$1,153.93	$1,823.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $729.00 / $857.70 / $1,144.00	Professional		$729.00	$857.70	$1,144.00