Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $10,506.16	Facility		$4,277.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.21 / $562.62 / $1,740.00	Professional		$367.21	$562.62	$1,740.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.81 / $958.25 / $1,181.31	Professional		$776.81	$958.25	$1,181.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $347.15 / $622.79 / $1,011.04	Professional		$347.15	$622.79	$1,011.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $629.97 / $998.07 / $7,155.00	Facility		$629.97	$998.07	$7,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.79 / $918.17 / $3,157.76	Professional		$483.79	$918.17	$3,157.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $776.81 / $1,047.58 / $3,093.19	Facility		$776.81	$1,047.58	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $577.71 / $869.49 / $1,173.19	Professional		$577.71	$869.49	$1,173.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $701.30 / $1,126.80	Professional		$4.00	$701.30	$1,126.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $6,110.41 / $8,342.00	Facility		$3,711.00	$6,110.41	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.32 / $805.08 / $1,235.08	Professional		$436.32	$805.08	$1,235.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $722.50 / $822.70 / $967.90	Professional		$722.50	$822.70	$967.90