Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,124.30 / $5,390.00 / $7,943.37	Facility		$3,124.30	$5,390.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.63 / $1,644.37 / $3,124.30	Professional		$810.63	$1,644.37	$3,124.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.90 / $2,264.06 / $2,830.08	Professional		$847.90	$2,264.06	$2,830.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $888.03 / $1,456.59 / $3,936.11	Professional		$888.03	$1,456.59	$3,936.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,314.59 / $2,195.73 / $11,495.00	Facility		$1,314.59	$2,195.73	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,066.68 / $2,091.63 / $7,375.48	Professional		$1,066.68	$2,091.63	$7,375.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,734.00 / $2,404.67 / $5,383.60	Facility		$1,734.00	$2,404.67	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,262.88 / $2,091.63 / $2,951.23	Professional		$1,262.88	$2,091.63	$2,951.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,663.20 / $2,597.40	Professional		$6.00	$1,663.20	$2,597.40
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 $1,019.17 / $1,533.58 / $3,019.45	Professional		$1,019.17	$1,533.58	$3,019.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.88 / $1,916.30 / $2,254.40	Professional		$1,513.88	$1,916.30	$2,254.40