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 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.65 / $1,075.53 / $1,075.53	Professional		$850.65	$1,075.53	$1,075.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.34 / $1,751.24 / $1,990.05	Professional		$1,491.34	$1,751.24	$1,990.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $652.82 / $1,106.39 / $1,864.22	Professional		$652.82	$1,106.39	$1,864.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,077.10 / $1,747.98 / $6,598.08	Facility		$1,077.10	$1,747.98	$6,598.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $895.07 / $1,698.74 / $5,940.68	Professional		$895.07	$1,698.74	$5,940.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,127.52 / $1,545.12 / $2,151.38	Facility		$1,127.52	$1,545.12	$2,151.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,127.52 / $1,545.12 / $2,151.38	Professional		$1,127.52	$1,545.12	$2,151.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,289.30 / $1,755.10	Professional		$7.00	$1,289.30	$1,755.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.25 / $1,612.54 / $2,285.09	Professional		$807.25	$1,612.54	$2,285.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,362.40 / $1,362.40 / $1,602.90	Professional		$1,362.40	$1,362.40	$1,602.90