Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $378.83 / $629.64	Professional		$243.17	$378.83	$629.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.82 / $623.62 / $978.79	Professional		$268.82	$623.62	$978.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $238.77 / $476.51 / $908.97	Professional		$238.77	$476.51	$908.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.03 / $653.39 / $4,699.35	Facility		$367.03	$653.39	$4,699.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.33 / $765.44 / $2,727.76	Professional		$373.33	$765.44	$2,727.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $795.49 / $2,440.29	Facility		$546.41	$795.49	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $679.76 / $978.79	Professional		$479.00	$679.76	$978.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $677.60 / $984.60	Professional		$5.00	$677.60	$984.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.80 / $550.01 / $1,091.40	Professional		$368.80	$550.01	$1,091.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $490.30 / $576.79 / $825.20	Professional		$490.30	$576.79	$825.20