Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,011.87 / $7,943.28	Facility		$870.96	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $3,467.37	Professional		$758.58	$870.96	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $2,454.71	Professional		$1,949.84	$1,995.26	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $3,090.30	Professional		$851.14	$1,513.56	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $7,079.46	Facility		$1,288.25	$2,137.96	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $6,456.54	Professional		$977.24	$1,698.24	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $3,019.95	Professional		$1,949.84	$1,995.26	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,454.71	Professional		$1,737.80	$2,398.83	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,819.70 / $2,238.72	Professional		$6.03	$1,819.70	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,570.40	Professional		$912.01	$1,348.96	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,995.26	Professional		$1,698.24	$1,698.24	$1,995.26