Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,981.07 / $11,481.54	Facility		$1,548.82	$3,981.07	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,344.23	Professional		$812.83	$1,148.15	$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 / $1,659.59 / $4,570.88	Professional		$933.25	$1,659.59	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $10,471.29	Facility		$1,737.80	$3,162.28	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $9,772.37	Professional		$1,096.48	$1,862.09	$9,772.37
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 $5,128.61 / $8,511.38 / $11,748.98	Facility		$5,128.61	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,951.21	Professional		$1,000.00	$1,548.82	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Professional		$1,778.28	$1,778.28	$2,089.30