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 $294.64 / $481.67 / $929.09	Professional		$294.64	$481.67	$929.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.58 / $942.36 / $1,291.35	Professional		$604.58	$942.36	$1,291.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.34 / $634.35 / $1,315.14	Professional		$252.34	$634.35	$1,315.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.45 / $1,023.17 / $5,582.51	Facility		$632.45	$1,023.17	$5,582.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.28 / $1,068.89 / $4,764.99	Professional		$580.28	$1,068.89	$4,764.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $631.95 / $1,016.90 / $1,813.25	Facility		$631.95	$1,016.90	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $553.75 / $829.05 / $1,279.55	Professional		$553.75	$829.05	$1,279.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $801.60 / $1,244.00	Professional		$3.00	$801.60	$1,244.00
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 $528.66 / $937.44 / $1,437.83	Professional		$528.66	$937.44	$1,437.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $522.40 / $614.60 / $1,020.00	Professional		$522.40	$614.60	$1,020.00