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 $775.05 / $1,226.82 / $1,226.82	Professional		$775.05	$1,226.82	$1,226.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.18 / $2,048.51 / $2,359.69	Professional		$1,714.18	$2,048.51	$2,359.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $744.39 / $1,197.98 / $2,028.27	Professional		$744.39	$1,197.98	$2,028.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,265.07 / $2,164.96 / $14,396.24	Facility		$1,265.07	$2,164.96	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $908.47 / $1,832.09 / $6,177.60	Professional		$908.47	$1,832.09	$6,177.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,274.00 / $2,348.88 / $5,383.60	Facility		$1,274.00	$2,348.88	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,182.00 / $1,795.86 / $2,348.88	Professional		$1,182.00	$1,795.86	$2,348.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,443.90 / $2,193.19	Professional		$5.00	$1,443.90	$2,193.19
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 $870.62 / $1,559.54 / $2,464.46	Professional		$870.62	$1,559.54	$2,464.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,531.40 / $1,531.40 / $1,801.60	Professional		$1,531.40	$1,531.40	$1,801.60