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 $158.83 / $995.49 / $2,909.61	Professional		$158.83	$995.49	$2,909.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.09 / $384.83 / $5,970.71	Professional	50	$126.09	$384.83	$5,970.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.37 / $3,424.28 / $4,868.85	Professional		$351.37	$3,424.28	$4,868.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $1,822.05 / $4,558.41	Professional		$145.66	$1,822.05	$4,558.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.74 / $4,007.61 / $10,794.11	Facility		$372.74	$4,007.61	$10,794.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $4,247.46 / $10,240.29	Professional		$417.00	$4,247.46	$10,240.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $363.77 / $4,435.51 / $5,710.87	Facility		$363.77	$4,435.51	$5,710.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $344.97 / $3,284.73 / $5,326.65	Professional		$344.97	$3,284.73	$5,326.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $4,234.10 / $5,102.00	Professional		$5.00	$4,234.10	$5,102.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,018.42 / $3,644.32 / $5,713.54	Professional		$2,018.42	$3,644.32	$5,713.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $292.10 / $343.70 / $3,411.10	Professional		$292.10	$343.70	$3,411.10