Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.34 / $842.19 / $3,183.02	Professional		$505.34	$842.19	$3,183.02
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 $586.17 / $1,344.73 / $1,680.91	Professional		$586.17	$1,344.73	$1,680.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $572.44 / $900.67 / $2,622.68	Professional		$572.44	$900.67	$2,622.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $819.38 / $1,339.84 / $7,915.44	Facility		$819.38	$1,339.84	$7,915.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $668.67 / $1,318.61 / $5,178.08	Professional		$668.67	$1,318.61	$5,178.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $938.00 / $1,519.05 / $3,162.53	Facility		$938.00	$1,519.05	$3,162.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $843.58 / $1,321.30 / $1,797.27	Professional		$843.58	$1,321.30	$1,797.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.49 / $1,153.45 / $3,472.60	Professional		$616.49	$1,153.45	$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 $634.66 / $923.15 / $1,878.21	Professional		$634.66	$923.15	$1,878.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $951.08 / $1,203.90 / $1,416.40	Professional		$951.08	$1,203.90	$1,416.40