Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.92 / $497.98 / $497.98	Professional		$312.92	$497.98	$497.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.09 / $892.17 / $946.61	Professional		$743.09	$892.17	$946.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.63 / $557.77 / $1,065.08	Professional		$316.63	$557.77	$1,065.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $559.38 / $901.95 / $8,586.74	Facility		$559.38	$901.95	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.41 / $808.25 / $3,137.10	Professional		$445.41	$808.25	$3,137.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $1,038.67 / $3,170.91	Facility		$677.00	$1,038.67	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $743.09 / $1,038.67	Professional		$598.54	$743.09	$1,038.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $655.50 / $839.00	Professional		$3.00	$655.50	$839.00
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 $397.50 / $792.98 / $1,086.55	Professional		$397.50	$792.98	$1,086.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $655.20 / $655.20 / $770.90	Professional		$655.20	$655.20	$770.90