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 $648.24 / $1,032.20 / $1,032.20	Professional		$648.24	$1,032.20	$1,032.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.37 / $1,741.91 / $1,953.59	Professional		$1,536.37	$1,741.91	$1,953.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $656.37 / $1,231.61 / $1,982.90	Professional		$656.37	$1,231.61	$1,982.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,347.24 / $1,990.63 / $12,371.41	Facility		$1,347.24	$1,990.63	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $926.41 / $1,680.45 / $5,240.88	Professional		$926.41	$1,680.45	$5,240.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,268.00 / $2,156.60 / $4,818.76	Facility		$1,268.00	$2,156.60	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,116.75 / $1,536.37 / $2,156.60	Professional		$1,116.75	$1,536.37	$2,156.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,284.00 / $1,736.60	Professional		$7.00	$1,284.00	$1,736.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $833.28 / $1,631.84 / $2,366.23	Professional		$833.28	$1,631.84	$2,366.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,354.70 / $1,354.70 / $1,593.80	Professional		$1,354.70	$1,354.70	$1,593.80