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 $87.96 / $455.04 / $930.04	Professional		$87.96	$455.04	$930.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $505.05 / $1,625.20	Professional		$104.87	$505.05	$1,625.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $778.80 / $1,098.30	Professional		$92.99	$778.80	$1,098.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.72 / $868.53 / $3,456.19	Facility		$145.72	$868.53	$3,456.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $486.39 / $1,104.03 / $4,916.00	Professional		$486.39	$1,104.03	$4,916.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.71 / $1,210.92 / $1,671.41	Facility		$214.71	$1,210.92	$1,671.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.71 / $1,010.33 / $1,647.54	Professional		$214.71	$1,010.33	$1,647.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $1,038.09 / $1,578.30	Professional		$110.40	$1,038.09	$1,578.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.25 / $946.44 / $1,888.15	Professional		$657.25	$946.44	$1,888.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $226.10 / $1,610.00	Professional		$184.80	$226.10	$1,610.00