Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,786.30 / $7,079.46	Facility		$933.25	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,412.54	Professional		$501.19	$691.83	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,659.59	Professional		$1,258.93	$1,318.26	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $2,290.87	Professional		$562.34	$1,000.00	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,951.21 / $9,332.54	Facility		$954.99	$2,951.21	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $5,128.61	Professional		$660.69	$1,122.02	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,819.70	Professional		$1,202.26	$1,318.26	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $1,513.56	Professional		$1,071.52	$1,513.56	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,071.52 / $1,412.54	Professional		$3.02	$1,071.52	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,456.54 / $9,332.54	Facility		$4,365.16	$6,456.54	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,778.28	Professional		$602.56	$933.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,258.93	Professional		$1,071.52	$1,071.52	$1,258.93