Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,235.94 / $6,760.83	Facility		$1,096.48	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,659.59	Professional		$575.44	$724.44	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,479.11 / $1,862.09	Professional		$630.96	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $2,238.72	Professional		$616.60	$1,096.48	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $8,912.51	Facility		$707.95	$1,412.54	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $4,897.79	Professional		$691.83	$1,202.26	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,819.70	Professional		$1,122.02	$1,445.44	$1,819.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,819.70	Professional		$1,096.48	$1,202.26	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,258.93 / $1,698.24	Professional		$7.08	$1,258.93	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,762.47 / $10,964.78	Facility		$3,715.35	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,778.28	Professional		$660.69	$933.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,548.82	Professional		$1,023.29	$1,318.26	$1,548.82