Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.18 / $865.13 / $865.13	Professional		$483.18	$865.13	$865.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.60 / $1,303.75 / $1,486.13	Professional		$1,121.60	$1,303.75	$1,486.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $485.42 / $799.21 / $1,344.61	Professional		$485.42	$799.21	$1,344.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.64 / $1,174.76 / $3,915.00	Facility		$357.64	$1,174.76	$3,915.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $644.26 / $1,222.73 / $3,925.84	Professional		$644.26	$1,222.73	$3,925.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $839.87 / $1,152.83 / $1,598.88	Facility		$839.87	$1,152.83	$1,598.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $839.87 / $1,152.83 / $1,598.88	Professional		$839.87	$1,152.83	$1,598.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $906.30 / $1,312.20	Professional		$6.00	$906.30	$1,312.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.79 / $988.23 / $1,644.77	Professional		$574.79	$988.23	$1,644.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $998.60 / $998.60 / $1,174.90	Professional		$998.60	$998.60	$1,174.90