Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.34 / $667.99 / $667.99	Professional		$506.34	$667.99	$667.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.30 / $1,358.45 / $1,633.16	Professional		$1,201.30	$1,358.45	$1,633.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $506.70 / $846.72 / $1,423.71	Professional		$506.70	$846.72	$1,423.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.62 / $1,456.39 / $12,013.25	Facility		$821.62	$1,456.39	$12,013.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $653.59 / $1,255.74 / $5,060.51	Professional		$653.59	$1,255.74	$5,060.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,595.90 / $4,164.35	Facility		$914.00	$1,595.90	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $1,207.42 / $1,595.90	Professional		$836.00	$1,207.42	$1,595.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $956.30 / $1,405.70	Professional		$7.00	$956.30	$1,405.70
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 $596.74 / $1,101.31 / $1,689.18	Professional		$596.74	$1,101.31	$1,689.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,045.90 / $1,045.90 / $1,230.50	Professional		$1,045.90	$1,045.90	$1,230.50