Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,365.79 / $3,666.78 / $7,119.04	Facility		$2,365.79	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.63 / $1,279.31 / $2,346.57	Professional		$343.63	$1,279.31	$2,346.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.08 / $1,634.13 / $3,862.69	Professional		$548.08	$1,634.13	$3,862.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $324.97 / $1,578.34 / $2,272.13	Professional		$324.97	$1,578.34	$2,272.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $670.64 / $2,514.62 / $6,558.00	Facility		$670.64	$2,514.62	$6,558.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,306.96 / $3,210.60 / $5,946.52	Professional		$1,306.96	$3,210.60	$5,946.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $760.55 / $2,514.62 / $4,239.81	Facility		$760.55	$2,514.62	$4,239.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $760.55 / $2,551.35 / $4,088.17	Professional		$760.55	$2,551.35	$4,088.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,772.10 / $4,498.20	Professional		$5.00	$1,772.10	$4,498.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,545.00 / $2,726.24 / $4,554.75	Professional		$1,545.00	$2,726.24	$4,554.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $697.30 / $853.10 / $3,120.40	Professional		$697.30	$853.10	$3,120.40