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 $336.22 / $756.46 / $1,264.82	Professional		$336.22	$756.46	$1,264.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.11 / $1,819.20 / $2,274.00	Professional		$719.11	$1,819.20	$2,274.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $1,106.31 / $1,889.70	Professional		$309.02	$1,106.31	$1,889.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $785.48 / $2,134.19 / $8,545.00	Facility		$785.48	$2,134.19	$8,545.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $749.00 / $1,904.85 / $4,579.00	Professional		$749.00	$1,904.85	$4,579.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $752.63 / $1,982.78 / $3,018.60	Facility		$752.63	$1,982.78	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $696.96 / $1,495.54 / $2,389.69	Professional		$696.96	$1,495.54	$2,389.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $782.21 / $3,215.07	Professional		$348.00	$782.21	$3,215.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.16 / $1,909.67 / $2,703.61	Professional		$980.16	$1,909.67	$2,703.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $669.30 / $787.40 / $1,868.30	Professional		$669.30	$787.40	$1,868.30