Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.44 / $1,301.31 / $1,301.31	Professional		$818.44	$1,301.31	$1,301.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,943.24 / $2,203.91 / $2,492.15	Professional		$1,943.24	$2,203.91	$2,492.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $825.62 / $1,460.13 / $2,395.17	Professional		$825.62	$1,460.13	$2,395.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,504.80 / $2,203.91 / $6,608.00	Facility		$1,504.80	$2,203.91	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,119.93 / $2,094.56 / $6,633.76	Professional		$1,119.93	$2,094.56	$6,633.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,396.26 / $1,946.86 / $2,718.66	Facility		$1,396.26	$1,946.86	$2,718.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,396.26 / $1,946.86 / $2,718.66	Professional		$1,396.26	$1,946.86	$2,718.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,536.60 / $2,208.30	Professional		$6.00	$1,536.60	$2,208.30
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 $1,012.80 / $1,836.98 / $2,817.53	Professional		$1,012.80	$1,836.98	$2,817.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,716.70 / $1,716.70 / $2,019.60	Professional		$1,716.70	$1,716.70	$2,019.60