Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.05 / $893.71 / $893.71	Professional		$564.05	$893.71	$893.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,259.81 / $1,495.73 / $1,714.02	Professional		$1,259.81	$1,495.73	$1,714.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $544.59 / $885.78 / $1,493.86	Professional		$544.59	$885.78	$1,493.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $893.71 / $1,591.69 / $9,011.04	Facility		$893.71	$1,591.69	$9,011.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $667.36 / $1,345.83 / $4,509.92	Professional		$667.36	$1,345.83	$4,509.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $1,727.54 / $3,018.60	Facility		$935.00	$1,727.54	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $866.59 / $1,318.05 / $1,727.54	Professional		$866.59	$1,318.05	$1,727.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,061.59 / $1,582.30	Professional		$5.00	$1,061.59	$1,582.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,055.75 / $7,059.62 / $10,320.00	Facility		$4,055.75	$7,059.62	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.54 / $1,145.63 / $1,810.37	Professional		$639.54	$1,145.63	$1,810.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $1,116.00 / $1,313.00	Professional		$1,116.00	$1,116.00	$1,313.00