Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,786.30 / $7,079.46	Facility		$870.96	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,348.96	Professional		$467.74	$645.65	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,548.82	Professional		$1,174.90	$1,230.27	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $2,137.96	Professional		$537.03	$954.99	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,073.80 / $13,803.84	Facility		$933.25	$4,073.80	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $3,981.07	Professional		$616.60	$1,071.52	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,737.80	Professional		$1,148.15	$1,258.93	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,412.54	Professional		$1,000.00	$1,412.54	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,023.29 / $1,318.26	Professional		$3.02	$1,023.29	$1,318.26
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 $562.34 / $870.96 / $1,659.59	Professional		$562.34	$870.96	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,202.26	Professional		$1,023.29	$1,023.29	$1,202.26