Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.44 / $1,001.97 / $1,001.97	Professional		$634.44	$1,001.97	$1,001.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.25 / $1,663.06 / $1,928.27	Professional		$1,338.25	$1,663.06	$1,928.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $595.44 / $927.57 / $1,587.75	Professional		$595.44	$927.57	$1,587.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,001.97 / $1,724.19 / $14,396.24	Facility		$1,001.97	$1,724.19	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.89 / $1,459.84 / $6,691.93	Professional		$723.89	$1,459.84	$6,691.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,902.81 / $5,383.60	Facility		$1,003.00	$1,902.81	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $917.00 / $1,454.82 / $1,902.81	Professional		$917.00	$1,454.82	$1,902.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,187.40 / $1,821.60	Professional		$5.00	$1,187.40	$1,821.60
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 $693.73 / $1,417.94 / $1,963.73	Professional		$693.73	$1,417.94	$1,963.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,238.00 / $1,238.00 / $1,456.50	Professional		$1,238.00	$1,238.00	$1,456.50