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 $781.24 / $1,328.35 / $4,978.95	Professional		$781.24	$1,328.35	$4,978.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,890.88 / $2,111.61 / $2,363.59	Professional		$1,890.88	$2,111.61	$2,363.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $814.99 / $1,400.16 / $2,478.08	Professional		$814.99	$1,400.16	$2,478.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,385.50 / $2,126.00 / $7,305.00	Facility		$1,385.50	$2,126.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $999.32 / $2,015.30 / $3,539.27	Professional		$999.32	$2,015.30	$3,539.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,339.27 / $1,995.15 / $2,609.54	Facility		$1,339.27	$1,995.15	$2,609.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,339.27 / $1,927.22 / $2,609.54	Professional		$1,339.27	$1,927.22	$2,609.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $876.13 / $1,447.35 / $1,747.96	Professional		$876.13	$1,447.35	$1,747.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $957.69 / $1,935.46 / $2,751.25	Professional		$957.69	$1,935.46	$2,751.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,395.85 / $1,766.90 / $2,078.69	Professional		$1,395.85	$1,766.90	$2,078.69