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 $772.33 / $1,227.69 / $1,227.69	Professional		$772.33	$1,227.69	$1,227.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,835.51 / $2,078.53 / $2,352.88	Professional		$1,835.51	$2,078.53	$2,352.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $777.90 / $1,348.33 / $2,229.23	Professional		$777.90	$1,348.33	$2,229.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,213.30 / $2,225.44 / $12,371.41	Facility		$1,213.30	$2,225.44	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,044.71 / $1,975.16 / $7,796.51	Professional		$1,044.71	$1,975.16	$7,796.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $2,565.36 / $4,818.76	Facility		$1,425.00	$2,565.36	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,308.91 / $1,835.51 / $2,565.36	Professional		$1,308.91	$1,835.51	$2,565.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,448.60 / $2,085.60	Professional		$3.00	$1,448.60	$2,085.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.61 / $1,975.16 / $2,656.91	Professional		$938.61	$1,975.16	$2,656.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,618.50 / $1,618.50 / $1,904.10	Professional		$1,618.50	$1,618.50	$1,904.10