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 $325.70 / $518.41 / $518.41	Professional		$325.70	$518.41	$518.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.20 / $874.66 / $983.61	Professional		$772.20	$874.66	$983.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.32 / $561.36 / $1,015.17	Professional		$329.32	$561.36	$1,015.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.61 / $937.97 / $8,393.34	Facility		$525.61	$937.97	$8,393.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.10 / $841.63 / $2,631.76	Professional		$464.10	$841.63	$2,631.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $1,083.51 / $3,170.91	Facility		$634.00	$1,083.51	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $559.63 / $772.20 / $1,083.51	Professional		$559.63	$772.20	$1,083.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $613.10 / $874.10	Professional		$6.00	$613.10	$874.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.34 / $782.94 / $1,132.13	Professional		$417.34	$782.94	$1,132.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $680.90 / $680.90 / $801.10	Professional		$680.90	$680.90	$801.10