Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.98 / $849.56 / $984.70	Professional		$543.98	$849.56	$984.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.54 / $776.18 / $1,337.59	Professional		$581.54	$776.18	$1,337.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $291.20 / $447.98 / $1,719.90	Professional		$291.20	$447.98	$1,719.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.54 / $1,060.00 / $6,558.00	Facility		$555.54	$1,060.00	$6,558.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.72 / $581.33 / $2,266.48	Professional		$293.72	$581.33	$2,266.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $608.10 / $1,099.79 / $1,472.34	Facility		$608.10	$1,099.79	$1,472.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $970.00 / $1,632.89	Professional		$521.23	$970.00	$1,632.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.85 / $1,367.08 / $1,450.26	Professional		$1,285.85	$1,367.08	$1,450.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.18 / $463.18 / $831.44	Professional		$268.18	$463.18	$831.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $439.32 / $556.10 / $556.10	Professional		$439.32	$556.10	$556.10