Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,631.29 / $2,409.03	Professional		$142.43	$1,631.29	$2,409.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.08 / $404.42 / $3,828.76	Professional		$317.08	$404.42	$3,828.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $1,674.53 / $2,524.13	Professional		$194.36	$1,674.53	$2,524.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.33 / $2,852.30 / $5,521.00	Facility		$325.33	$2,852.30	$5,521.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.91 / $3,286.33 / $5,765.18	Professional		$408.91	$3,286.33	$5,765.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $342.48 / $1,844.64 / $4,043.33	Facility		$342.48	$1,844.64	$4,043.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $2,794.01 / $4,346.22	Professional		$325.33	$2,794.01	$4,346.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $1,223.33 / $2,333.48	Professional		$152.00	$1,223.33	$2,333.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $5,023.00 / $7,305.00	Facility		$2,679.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,872.68 / $3,286.33 / $5,080.12	Professional		$1,872.68	$3,286.33	$5,080.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $350.90 / $3,013.60	Professional		$298.30	$350.90	$3,013.60