Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.51 / $691.16 / $1,595.25	Professional		$410.51	$691.16	$1,595.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.69 / $1,114.85 / $1,259.83	Professional		$995.69	$1,114.85	$1,259.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.54 / $690.50 / $1,189.52	Professional		$426.54	$690.50	$1,189.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $596.52 / $1,064.39 / $5,847.00	Facility		$596.52	$1,064.39	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $505.73 / $1,016.47 / $3,366.24	Professional		$505.73	$1,016.47	$3,366.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.91 / $1,003.36 / $1,283.69	Facility		$645.91	$1,003.36	$1,283.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.91 / $1,003.36 / $1,283.69	Professional		$645.91	$1,003.36	$1,283.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $790.40 / $1,182.40	Professional		$4.00	$790.40	$1,182.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.03 / $865.26 / $1,367.32	Professional		$483.03	$865.26	$1,367.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $884.50 / $884.50 / $1,040.59	Professional		$884.50	$884.50	$1,040.59