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 $940.21 / $1,452.23 / $5,477.80	Professional		$940.21	$1,452.23	$5,477.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.29 / $2,286.66 / $2,858.32	Professional		$1,005.29	$2,286.66	$2,858.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $978.59 / $1,542.21 / $3,332.90	Professional		$978.59	$1,542.21	$3,332.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $2,269.39 / $4,663.00	Facility		$1,350.00	$2,269.39	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,166.33 / $2,268.38 / $7,675.60	Professional		$1,166.33	$2,268.38	$7,675.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,552.14 / $2,329.67 / $3,217.33	Facility		$1,552.14	$2,329.67	$3,217.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,329.67 / $3,090.59	Professional		$1,512.00	$2,329.67	$3,090.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,872.00 / $2,697.10	Professional		$7.00	$1,872.00	$2,697.10
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 $1,093.58 / $1,745.81 / $3,236.32	Professional		$1,093.58	$1,745.81	$3,236.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,622.82 / $2,054.19 / $2,416.80	Professional		$1,622.82	$2,054.19	$2,416.80