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 $582.50 / $925.40 / $925.40	Professional		$582.50	$925.40	$925.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.10 / $1,569.66 / $1,785.11	Professional		$1,390.10	$1,569.66	$1,785.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $586.99 / $995.70 / $1,725.22	Professional		$586.99	$995.70	$1,725.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $925.40 / $1,678.99 / $12,371.41	Facility		$925.40	$1,678.99	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $806.68 / $1,480.36 / $5,631.92	Professional		$806.68	$1,480.36	$5,631.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,097.00 / $1,932.36 / $4,818.76	Facility		$1,097.00	$1,932.36	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $986.00 / $1,390.10 / $1,932.36	Professional		$986.00	$1,390.10	$1,932.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,092.80 / $1,577.60	Professional		$3.00	$1,092.80	$1,577.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $6,110.41 / $8,342.00	Facility		$3,711.00	$6,110.41	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.48 / $1,299.20 / $1,991.33	Professional		$703.48	$1,299.20	$1,991.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,225.70 / $1,225.70 / $1,442.10	Professional		$1,225.70	$1,225.70	$1,442.10