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 $431.98 / $666.19 / $1,948.00	Professional		$431.98	$666.19	$1,948.00
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 $448.25 / $1,072.04 / $1,340.05	Professional		$448.25	$1,072.04	$1,340.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $445.56 / $698.39 / $1,344.00	Professional		$445.56	$698.39	$1,344.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $1,105.50 / $6,306.00	Facility		$668.00	$1,105.50	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $495.15 / $1,006.69 / $3,533.20	Professional		$495.15	$1,006.69	$3,533.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $1,252.61 / $2,630.67	Facility		$668.00	$1,252.61	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $618.00 / $1,051.08 / $1,300.67	Professional		$618.00	$1,051.08	$1,300.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $477.96 / $893.62 / $2,880.78	Professional		$477.96	$893.62	$2,880.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,484.54 / $5,732.00 / $8,342.00	Facility		$3,484.54	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.76 / $829.20 / $1,443.47	Professional		$487.76	$829.20	$1,443.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $747.26 / $945.90 / $1,112.90	Professional		$747.26	$945.90	$1,112.90