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 $526.75 / $837.20 / $3,154.43	Professional		$526.75	$837.20	$3,154.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.83 / $1,333.82 / $1,667.27	Professional		$621.83	$1,333.82	$1,667.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $568.14 / $955.37 / $2,476.73	Professional		$568.14	$955.37	$2,476.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.94 / $1,238.89 / $3,396.00	Facility		$790.94	$1,238.89	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $686.17 / $1,284.14 / $4,535.58	Professional		$686.17	$1,284.14	$4,535.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $863.02 / $1,358.88 / $1,911.51	Facility		$863.02	$1,358.88	$1,911.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $863.02 / $1,238.89 / $1,777.33	Professional		$863.02	$1,238.89	$1,777.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $611.98 / $998.10 / $1,230.97	Professional		$611.98	$998.10	$1,230.97
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 $628.99 / $914.90 / $1,861.41	Professional		$628.99	$914.90	$1,861.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $943.97 / $1,194.90 / $1,405.80	Professional		$943.97	$1,194.90	$1,405.80