Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.01 / $1,005.84 / $1,668.21	Professional		$785.01	$1,005.84	$1,668.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.07 / $1,936.06 / $2,420.08	Professional		$784.07	$1,936.06	$2,420.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $764.43 / $1,327.07 / $2,714.41	Professional		$764.43	$1,327.07	$2,714.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,187.18 / $2,005.44 / $11,495.00	Facility		$1,187.18	$2,005.44	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $940.81 / $1,855.89 / $9,218.11	Professional		$940.81	$1,855.89	$9,218.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,567.19 / $2,217.42 / $5,383.60	Facility		$1,567.19	$2,217.42	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,233.00 / $1,855.89 / $2,493.05	Professional		$1,233.00	$1,855.89	$2,493.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,576.90 / $2,209.00	Professional		$6.00	$1,576.90	$2,209.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $10,061.00 / $16,121.13	Facility		$7,221.00	$10,061.00	$16,121.13
United Facility/Professional Professional Modifier Low / Median / High Price $862.41 / $1,451.88 / $2,552.19	Professional		$862.41	$1,451.88	$2,552.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,292.83 / $1,636.50 / $1,925.30	Professional		$1,292.83	$1,636.50	$1,925.30