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 $583.83 / $927.48 / $927.48	Professional		$583.83	$927.48	$927.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.60 / $1,573.55 / $1,789.01	Professional		$1,370.60	$1,573.55	$1,789.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.25 / $981.94 / $1,717.44	Professional		$588.25	$981.94	$1,717.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,088.36 / $1,755.94 / $12,371.41	Facility		$1,088.36	$1,755.94	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $803.03 / $1,483.77 / $5,405.71	Professional		$803.03	$1,483.77	$5,405.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $1,936.55 / $4,818.76	Facility		$1,088.00	$1,936.55	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $984.13 / $1,393.00 / $1,936.55	Professional		$984.13	$1,393.00	$1,936.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,095.20 / $1,581.00	Professional		$3.00	$1,095.20	$1,581.00
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 $705.10 / $1,370.28 / $1,995.92	Professional		$705.10	$1,370.28	$1,995.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,228.30 / $1,228.30 / $1,445.10	Professional		$1,228.30	$1,228.30	$1,445.10