Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.72 / $4,014.00 / $7,119.04	Facility		$817.72	$4,014.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.38 / $816.00 / $2,520.64	Professional		$430.38	$816.00	$2,520.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.32 / $955.98 / $1,460.88	Professional		$778.32	$955.98	$1,460.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.09 / $579.57 / $2,268.19	Professional		$331.09	$579.57	$2,268.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $778.75 / $1,396.53 / $12,013.25	Facility		$778.75	$1,396.53	$12,013.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.61 / $944.23 / $7,725.84	Professional		$520.61	$944.23	$7,725.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $751.10 / $1,084.19 / $4,164.35	Facility		$751.10	$1,084.19	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $652.07 / $874.12 / $1,100.21	Professional		$652.07	$874.12	$1,100.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,360.72 / $5,360.72 / $5,360.72	Facility		$5,360.72	$5,360.72	$5,360.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $887.90 / $1,169.90	Professional		$4.00	$887.90	$1,169.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.13 / $769.91 / $1,368.53	Professional		$399.13	$769.91	$1,368.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $674.60 / $674.60 / $793.60	Professional		$674.60	$674.60	$793.60