Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.91 / $878.26 / $878.26	Professional		$521.91	$878.26	$878.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.61 / $1,317.07 / $1,600.92	Professional		$1,188.61	$1,317.07	$1,600.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $906.85 / $1,555.77	Professional		$540.58	$906.85	$1,555.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $946.22 / $1,366.52 / $5,847.00	Facility		$946.22	$1,366.52	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $640.70 / $1,284.05 / $4,273.84	Professional		$640.70	$1,284.05	$4,273.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $788.94 / $1,232.36 / $1,611.86	Facility		$788.94	$1,232.36	$1,611.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,188.61 / $1,611.86	Professional		$815.00	$1,188.61	$1,611.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $898.80 / $1,504.80	Professional		$4.00	$898.80	$1,504.80
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 $610.19 / $1,093.04 / $1,839.88	Professional		$610.19	$1,093.04	$1,839.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.20 / $1,122.20 / $1,320.20	Professional		$1,122.20	$1,122.20	$1,320.20