Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,370.32 / $7,943.28	Facility		$1,318.26	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,318.26	Professional		$489.78	$794.33	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $3,388.44 / $4,265.80	Professional		$645.65	$3,388.44	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,754.23 / $6,606.93	Professional		$891.25	$2,754.23	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $5,248.07	Facility		$676.08	$1,819.70	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,290.87 / $5,888.44	Professional		$977.24	$2,290.87	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $3,311.31	Professional		$1,819.70	$2,187.76	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $3,388.44	Professional		$1,995.26	$2,818.38	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,041.74 / $3,890.45	Professional		$812.83	$2,041.74	$3,890.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $3,890.45	Professional		$2,630.27	$3,311.31	$3,890.45