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 $171.37 / $1,553.97 / $2,902.00	Professional		$171.37	$1,553.97	$2,902.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.75 / $472.72 / $4,665.84	Professional		$374.75	$472.72	$4,665.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.44 / $2,063.37 / $3,111.88	Professional		$229.44	$2,063.37	$3,111.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.28 / $3,717.67 / $13,476.00	Facility		$384.28	$3,717.67	$13,476.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.21 / $4,074.09 / $7,345.27	Professional		$477.21	$4,074.09	$7,345.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $399.43 / $2,789.56 / $4,658.99	Facility		$399.43	$2,789.56	$4,658.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.28 / $3,444.66 / $5,066.27	Professional		$384.28	$3,444.66	$5,066.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.48 / $1,513.18 / $3,024.24	Professional		$182.48	$1,513.18	$3,024.24
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $2,033.95 / $3,883.23 / $5,854.23	Professional		$2,033.95	$3,883.23	$5,854.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $352.30 / $414.50 / $3,715.40	Professional		$352.30	$414.50	$3,715.40