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 $887.97 / $1,046.83 / $1,046.83	Professional		$887.97	$1,046.83	$1,046.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,885.73 / $2,122.96 / $2,377.23	Professional		$1,885.73	$2,122.96	$2,377.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $796.64 / $1,391.11 / $2,331.58	Professional		$796.64	$1,391.11	$2,331.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,394.51 / $2,192.77 / $8,165.52	Facility		$1,394.51	$2,192.77	$8,165.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,030.25 / $1,999.23 / $6,407.94	Professional		$1,030.25	$1,999.23	$6,407.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,304.51 / $1,951.55 / $2,552.48	Facility		$1,304.51	$1,951.55	$2,552.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,304.51 / $1,885.73 / $2,552.48	Professional		$1,304.51	$1,885.73	$2,552.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,523.20 / $2,182.90	Professional		$6.00	$1,523.20	$2,182.90
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 $950.05 / $1,811.22 / $2,689.30	Professional		$950.05	$1,811.22	$2,689.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,633.50 / $1,633.50 / $1,921.70	Professional		$1,633.50	$1,633.50	$1,921.70