Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.13 / $757.16 / $941.62	Professional		$597.13	$757.16	$941.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,488.08 / $1,871.79	Professional		$1,132.45	$1,488.08	$1,871.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $466.14 / $900.27 / $1,651.08	Professional		$466.14	$900.27	$1,651.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $960.06 / $1,524.36 / $11,869.99	Facility		$960.06	$1,524.36	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $735.92 / $1,484.11 / $4,788.24	Professional		$735.92	$1,484.11	$4,788.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,132.45 / $1,587.38 / $5,383.60	Facility		$1,132.45	$1,587.38	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,003.17 / $1,377.81 / $1,733.09	Professional		$1,003.17	$1,377.81	$1,733.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,305.90 / $1,699.70	Professional		$5.00	$1,305.90	$1,699.70
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 $705.26 / $1,263.33 / $1,996.38	Professional		$705.26	$1,263.33	$1,996.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $958.90 / $1,128.09 / $1,406.50	Professional		$958.90	$1,128.09	$1,406.50