Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.71 / $1,269.83 / $1,269.83	Professional		$788.71	$1,269.83	$1,269.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,914.25 / $2,141.87 / $2,427.67	Professional		$1,914.25	$2,141.87	$2,427.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $827.11 / $1,373.59 / $2,321.27	Professional		$827.11	$1,373.59	$2,321.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,239.18 / $2,079.48 / $6,608.00	Facility		$1,239.18	$2,079.48	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,084.08 / $2,035.58 / $6,460.08	Professional		$1,084.08	$2,035.58	$6,460.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,333.03 / $1,958.49 / $2,623.59	Facility		$1,333.03	$1,958.49	$2,623.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,419.00 / $1,958.49 / $2,623.59	Professional		$1,419.00	$1,958.49	$2,623.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,612.60 / $2,234.90	Professional		$12.00	$1,612.60	$2,234.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $967.32 / $1,732.77 / $2,738.20	Professional		$967.32	$1,732.77	$2,738.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,658.30 / $1,658.30 / $1,951.00	Professional		$1,658.30	$1,658.30	$1,951.00