Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.34 / $809.43 / $809.43	Professional		$615.34	$809.43	$809.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.95 / $1,648.03 / $1,876.66	Professional		$1,407.95	$1,648.03	$1,876.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $613.14 / $1,057.01 / $2,133.67	Professional		$613.14	$1,057.01	$2,133.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $965.69 / $1,537.31 / $5,732.00	Facility		$965.69	$1,537.31	$5,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.15 / $1,534.98 / $5,443.68	Professional		$761.15	$1,534.98	$5,443.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $973.88 / $1,460.68 / $1,988.38	Facility		$973.88	$1,460.68	$1,988.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $973.88 / $1,460.68 / $1,988.38	Professional		$973.88	$1,460.68	$1,988.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,151.70 / $1,684.60	Professional		$5.00	$1,151.70	$1,684.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,988.00 / $8,342.00	Facility		$3,711.00	$5,988.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $729.43 / $1,306.64 / $2,064.80	Professional		$729.43	$1,306.64	$2,064.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,265.30 / $1,265.30 / $1,488.60	Professional		$1,265.30	$1,265.30	$1,488.60