Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,248.07 / $7,943.28	Facility		$707.95	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $1,479.11	Professional		$524.81	$602.56	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,659.59	Professional		$1,288.25	$1,348.96	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,995.26	Professional		$575.44	$1,000.00	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,168.69 / $13,182.57	Facility		$1,023.29	$4,168.69	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $4,365.16	Professional		$660.69	$1,122.02	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,862.09	Professional		$1,230.27	$1,318.26	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $1,584.89	Professional		$1,096.48	$1,584.89	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,096.48 / $1,513.56	Professional		$3.02	$1,096.48	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $13,182.57	Facility		$6,606.93	$10,000.00	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,698.24	Professional		$616.60	$891.25	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,318.26	Professional		$1,122.02	$1,122.02	$1,318.26