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 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.53 / $1,371.27 / $1,371.27	Professional		$866.53	$1,371.27	$1,371.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,937.14 / $2,410.71 / $2,739.46	Professional		$1,937.14	$2,410.71	$2,739.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $939.15 / $1,552.36 / $2,290.25	Professional		$939.15	$1,552.36	$2,290.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,572.34 / $2,337.00 / $6,608.00	Facility		$1,572.34	$2,337.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,084.36 / $2,240.63 / $9,186.74	Professional		$1,084.36	$2,240.63	$9,186.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,420.38 / $2,154.05 / $2,817.33	Facility		$1,420.38	$2,154.05	$2,817.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,409.56 / $2,154.05 / $2,817.33	Professional		$1,409.56	$2,154.05	$2,817.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,801.10 / $2,550.19	Professional		$11.00	$1,801.10	$2,550.19
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 $1,039.19 / $1,897.16 / $2,941.62	Professional		$1,039.19	$1,897.16	$2,941.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,992.00 / $1,992.00 / $2,343.50	Professional		$1,992.00	$1,992.00	$2,343.50