Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,817.59 / $7,943.37	Facility		$4,693.00	$5,817.59	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.17 / $1,133.71 / $2,139.27	Professional		$979.17	$1,133.71	$2,139.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,392.00 / $1,392.00	Facility		$1,392.00	$1,392.00	$1,392.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.09 / $2,414.42 / $3,018.04	Professional		$1,008.09	$2,414.42	$3,018.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $986.39 / $1,567.32 / $5,234.25	Professional		$986.39	$1,567.32	$5,234.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,525.83 / $2,578.65 / $11,732.00	Facility		$1,525.83	$2,578.65	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,225.61 / $2,368.98 / $11,430.60	Professional		$1,225.61	$2,368.98	$11,430.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $2,812.73 / $5,383.60	Facility		$1,821.00	$2,812.73	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,591.60 / $2,368.98 / $3,269.53	Professional		$1,591.60	$2,368.98	$3,269.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,864.30 / $2,756.60	Professional		$6.00	$1,864.30	$2,756.60
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 $1,135.50 / $1,779.91 / $3,392.25	Professional		$1,135.50	$1,779.91	$3,392.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,650.23 / $2,088.90 / $2,457.50	Professional		$1,650.23	$2,088.90	$2,457.50