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 $537.05 / $853.10 / $853.10	Professional		$537.05	$853.10	$853.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.99 / $1,447.76 / $1,647.80	Professional		$1,214.99	$1,447.76	$1,647.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $959.70 / $1,563.29	Professional		$540.54	$959.70	$1,563.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,054.59 / $1,525.81 / $8,420.00	Facility		$1,054.59	$1,525.81	$8,420.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $730.95 / $1,363.11 / $11,060.00	Professional		$730.95	$1,363.11	$11,060.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $901.35 / $1,281.65 / $1,781.14	Facility		$901.35	$1,281.65	$1,781.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $904.00 / $1,281.65 / $1,781.14	Professional		$904.00	$1,281.65	$1,781.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,011.10 / $1,456.30	Professional		$6.00	$1,011.10	$1,456.30
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 $675.92 / $1,299.38 / $1,833.61	Professional		$675.92	$1,299.38	$1,833.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,130.09 / $1,130.09 / $1,329.60	Professional		$1,130.09	$1,130.09	$1,329.60