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 $876.49 / $1,396.45 / $1,396.45	Professional		$876.49	$1,396.45	$1,396.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,049.05 / $2,337.01 / $2,645.04	Professional		$2,049.05	$2,337.01	$2,645.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $875.49 / $1,470.11 / $2,551.03	Professional		$875.49	$1,470.11	$2,551.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,484.55 / $2,337.01 / $6,608.00	Facility		$1,484.55	$2,337.01	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,192.80 / $2,238.19 / $7,034.40	Professional		$1,192.80	$2,238.19	$7,034.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,483.21 / $2,065.48 / $2,915.96	Facility		$1,483.21	$2,065.48	$2,915.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,483.21 / $2,065.48 / $2,915.96	Professional		$1,483.21	$2,065.48	$2,915.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,652.90 / $2,382.30	Professional		$7.00	$1,652.90	$2,382.30
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 $1,109.83 / $2,068.13 / $3,010.73	Professional		$1,109.83	$2,068.13	$3,010.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,821.30 / $1,821.30 / $2,142.69	Professional		$1,821.30	$1,821.30	$2,142.69