Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $863.41 / $1,372.44	Professional		$184.00	$863.41	$1,372.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.09 / $555.11 / $2,170.77	Professional		$444.09	$555.11	$2,170.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.19 / $1,011.02 / $3,069.91	Professional		$187.19	$1,011.02	$3,069.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.56 / $1,816.32 / $7,407.10	Facility		$455.56	$1,816.32	$7,407.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $532.03 / $1,715.78 / $8,265.00	Professional		$532.03	$1,715.78	$8,265.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.94 / $1,790.90 / $3,170.91	Facility		$480.94	$1,790.90	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $460.61 / $1,305.67 / $2,112.54	Professional		$460.61	$1,305.67	$2,112.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,294.00 / $2,186.80	Professional		$3.00	$1,294.00	$2,186.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.42 / $1,477.06 / $2,373.34	Professional		$860.42	$1,477.06	$2,373.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $453.80 / $1,676.10	Professional		$385.70	$453.80	$1,676.10