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 $541.39 / $714.65 / $714.65	Professional		$541.39	$714.65	$714.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,233.65 / $1,451.32 / $1,635.14	Professional		$1,233.65	$1,451.32	$1,635.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $541.75 / $952.97 / $1,458.79	Professional		$541.75	$952.97	$1,458.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,028.41 / $1,562.66 / $12,342.67	Facility		$1,028.41	$1,562.66	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $680.76 / $1,346.03 / $4,373.60	Professional		$680.76	$1,346.03	$4,373.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $1,711.92 / $4,164.35	Facility		$960.00	$1,711.92	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $863.22 / $1,289.66 / $1,711.92	Professional		$863.22	$1,289.66	$1,711.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,013.80 / $1,501.50	Professional		$3.00	$1,013.80	$1,501.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $639.64 / $1,214.57 / $1,810.63	Professional		$639.64	$1,214.57	$1,810.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,117.09 / $1,117.09 / $1,314.30	Professional		$1,117.09	$1,117.09	$1,314.30