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 $499.20 / $790.14 / $790.14	Professional		$499.20	$790.14	$790.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.52 / $1,326.24 / $1,536.77	Professional		$1,146.52	$1,326.24	$1,536.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $483.31 / $798.93 / $1,358.72	Professional		$483.31	$798.93	$1,358.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.14 / $1,451.99 / $8,328.70	Facility		$790.14	$1,451.99	$8,328.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $617.82 / $1,211.02 / $3,999.92	Professional		$617.82	$1,211.02	$3,999.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $868.00 / $1,589.69 / $2,571.84	Facility		$868.00	$1,589.69	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.95 / $1,176.11 / $1,589.69	Professional		$812.95	$1,176.11	$1,589.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,011.60 / $1,411.70	Professional		$6.00	$1,011.60	$1,411.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $6,110.41 / $8,342.00	Facility		$3,711.00	$6,110.41	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.48 / $1,168.50 / $1,629.02	Professional		$575.48	$1,168.50	$1,629.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $995.90 / $995.90 / $1,171.59	Professional		$995.90	$995.90	$1,171.59