Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.15 / $556.59 / $556.59	Professional		$422.15	$556.59	$556.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.97 / $1,131.78 / $1,281.61	Professional		$914.97	$1,131.78	$1,281.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $420.31 / $646.30 / $1,094.93	Professional		$420.31	$646.30	$1,094.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.88 / $1,174.55 / $8,342.00	Facility		$563.88	$1,174.55	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.84 / $1,036.24 / $3,411.44	Professional		$513.84	$1,036.24	$3,411.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $1,312.91 / $3,093.19	Facility		$723.00	$1,312.91	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $662.00 / $1,003.79 / $1,312.91	Professional		$662.00	$1,003.79	$1,312.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $786.30 / $1,175.59	Professional		$4.00	$786.30	$1,175.59
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 $492.43 / $882.09 / $1,393.92	Professional		$492.43	$882.09	$1,393.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.60 / $870.60 / $1,024.30	Professional		$870.60	$870.60	$1,024.30