Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,235.94 / $6,760.83	Facility		$1,380.38	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $2,344.23	Professional		$851.14	$1,071.52	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $2,691.53	Professional		$2,089.30	$2,187.76	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $3,467.37	Professional		$933.25	$1,621.81	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $13,803.84	Facility		$1,380.38	$4,073.80	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $7,762.47	Professional		$1,096.48	$1,905.46	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $3,162.28	Professional		$2,041.74	$2,187.76	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,511.89	Professional		$1,778.28	$2,454.71	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,778.28 / $2,344.23	Professional		$3.02	$1,778.28	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $14,125.38	Facility		$5,495.41	$8,511.38	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,951.21	Professional		$1,000.00	$1,584.89	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,137.96	Professional		$1,819.70	$1,819.70	$2,137.96