Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.04 / $575.54 / $827.45	Professional		$387.04	$575.54	$827.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,089.00 / $1,089.00	Facility		$1,089.00	$1,089.00	$1,089.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $958.29 / $1,197.86	Professional		$410.00	$958.29	$1,197.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $384.11 / $625.45 / $1,178.59	Professional		$384.11	$625.45	$1,178.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $479.47 / $961.99 / $6,306.00	Facility		$479.47	$961.99	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.71 / $918.90 / $3,117.60	Professional		$446.71	$918.90	$3,117.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $605.00 / $1,112.64 / $2,630.67	Facility		$605.00	$1,112.64	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $569.39 / $924.30 / $1,142.98	Professional		$569.39	$924.30	$1,142.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $403.03 / $754.07 / $2,880.78	Professional		$403.03	$754.07	$2,880.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.95 / $656.30 / $1,318.20	Professional		$435.95	$656.30	$1,318.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $643.85 / $815.00 / $958.80	Professional		$643.85	$815.00	$958.80