Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.57 / $1,226.49 / $3,111.00	Professional		$684.57	$1,226.49	$3,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,624.57 / $1,844.36 / $2,090.91	Professional		$1,624.57	$1,844.36	$2,090.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $689.49 / $1,161.74 / $1,982.66	Professional		$689.49	$1,161.74	$1,982.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,249.32 / $1,948.56 / $9,205.60	Facility		$1,249.32	$1,948.56	$9,205.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.05 / $1,743.92 / $5,552.08	Professional		$927.05	$1,743.92	$5,552.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,165.20 / $1,629.54 / $2,270.27	Facility		$1,165.20	$1,629.54	$2,270.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.00 / $1,629.54 / $2,270.27	Professional		$1,174.00	$1,629.54	$2,270.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,284.90 / $1,849.40	Professional		$6.00	$1,284.90	$1,849.40
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 $865.87 / $1,486.41 / $2,348.89	Professional		$865.87	$1,486.41	$2,348.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,411.60 / $1,411.60 / $1,660.70	Professional		$1,411.60	$1,411.60	$1,660.70