Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.97 / $877.98 / $1,391.11	Professional		$654.97	$877.98	$1,391.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.40 / $1,482.28 / $1,662.40	Professional		$1,306.40	$1,482.28	$1,662.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $557.98 / $950.81 / $1,716.71	Professional		$557.98	$950.81	$1,716.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $898.16 / $1,579.68 / $11,402.22	Facility		$898.16	$1,579.68	$11,402.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $787.59 / $1,428.28 / $4,459.84	Professional		$787.59	$1,428.28	$4,459.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,076.00 / $1,833.31 / $4,818.76	Facility		$1,076.00	$1,833.31	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $949.97 / $1,306.40 / $1,833.31	Professional		$949.97	$1,306.40	$1,833.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,037.09 / $1,476.80	Professional		$7.00	$1,037.09	$1,476.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.24 / $1,215.81 / $1,921.28	Professional		$708.24	$1,215.81	$1,921.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,151.90 / $1,151.90 / $1,355.20	Professional		$1,151.90	$1,151.90	$1,355.20