Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $9,185.68	Facility		$4,146.00	$5,091.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.42 / $511.96 / $1,066.47	Professional		$465.42	$511.96	$1,066.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.52 / $1,127.00 / $1,284.54	Professional		$963.52	$1,127.00	$1,284.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $420.10 / $688.52 / $1,215.75	Professional		$420.10	$688.52	$1,215.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.37 / $1,256.19 / $8,586.74	Facility		$810.37	$1,256.19	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $568.46 / $1,060.69 / $3,830.56	Professional		$568.46	$1,060.69	$3,830.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $1,383.83 / $3,170.91	Facility		$768.00	$1,383.83	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $705.75 / $997.09 / $1,383.83	Professional		$705.75	$997.09	$1,383.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $787.30 / $1,132.80	Professional		$4.00	$787.30	$1,132.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.05 / $819.62 / $1,426.80	Professional		$504.05	$819.62	$1,426.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $863.70 / $863.70 / $1,016.10	Professional		$863.70	$863.70	$1,016.10