Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $9,185.68	Facility		$4,277.00	$5,549.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.29 / $450.43 / $808.89	Professional		$355.29	$450.43	$808.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $895.19 / $1,118.98	Professional		$425.00	$895.19	$1,118.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.54 / $621.14 / $1,958.32	Professional		$380.54	$621.14	$1,958.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $609.10 / $962.62 / $7,915.44	Facility		$609.10	$962.62	$7,915.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $442.45 / $879.27 / $4,720.07	Professional		$442.45	$879.27	$4,720.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,104.91 / $3,162.53	Facility		$630.00	$1,104.91	$3,162.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $582.65 / $908.28 / $1,198.71	Professional		$582.65	$908.28	$1,198.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $409.78 / $766.70 / $3,472.60	Professional		$409.78	$766.70	$3,472.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.31 / $626.96 / $1,249.58	Professional		$414.31	$626.96	$1,249.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $632.71 / $800.90 / $942.20	Professional		$632.71	$800.90	$942.20