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 $582.53 / $868.80 / $3,293.97	Professional		$582.53	$868.80	$3,293.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.22 / $1,442.89 / $1,803.62	Professional		$603.22	$1,442.89	$1,803.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $586.98 / $950.52 / $2,055.61	Professional		$586.98	$950.52	$2,055.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $859.57 / $1,403.19 / $3,404.57	Facility		$859.57	$1,403.19	$3,404.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $717.40 / $1,372.76 / $4,761.84	Professional		$717.40	$1,372.76	$4,761.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $954.03 / $1,403.19 / $1,962.63	Facility		$954.03	$1,403.19	$1,962.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.03 / $1,403.19 / $1,882.29	Professional		$954.03	$1,403.19	$1,882.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,142.50 / $1,618.40	Professional		$6.00	$1,142.50	$1,618.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.02 / $1,120.33 / $1,950.28	Professional		$659.02	$1,120.33	$1,950.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.47 / $1,237.30 / $1,455.60	Professional		$977.47	$1,237.30	$1,455.60