Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,128.61 / $7,943.28	Facility		$1,548.82	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $3,311.31	Professional		$831.76	$1,047.13	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,137.96 / $2,691.53	Professional		$851.14	$2,137.96	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $4,677.35	Professional		$851.14	$1,513.56	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $13,182.57	Facility		$1,023.29	$1,995.26	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $9,772.37	Professional		$977.24	$1,698.24	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,511.89	Professional		$1,659.59	$2,187.76	$2,511.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,511.89	Professional		$1,479.11	$1,698.24	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,698.24 / $2,041.74	Professional		$6.03	$1,698.24	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,120.11 / $15,488.17	Facility		$4,168.69	$9,120.11	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,511.89	Professional		$933.25	$1,348.96	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,137.96	Professional		$1,412.54	$1,819.70	$2,137.96