Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,679.02 / $7,119.04	Facility		$2,218.00	$3,679.02	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $436.57 / $807.58	Professional		$316.82	$436.57	$807.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.12 / $840.65 / $1,050.81	Professional		$625.12	$840.65	$1,050.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $343.82 / $546.35 / $2,448.50	Professional		$343.82	$546.35	$2,448.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.16 / $874.02 / $5,301.00	Facility		$517.16	$874.02	$5,301.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $3,107.91 / $3,107.91 / $3,107.91	Facility	62	$3,107.91	$3,107.91	$3,107.91
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $497.27 / $497.27 / $497.27	Facility	AS	$497.27	$497.27	$497.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.17 / $702.30 / $4,131.06	Professional		$374.17	$702.30	$4,131.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $939.72 / $1,750.65	Facility		$646.00	$939.72	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $527.00 / $809.97 / $1,054.47	Professional		$527.00	$809.97	$1,054.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $378.39 / $685.25 / $1,905.99	Professional		$378.39	$685.25	$1,905.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.16 / $544.24 / $1,107.29	Professional		$357.16	$544.24	$1,107.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $577.96 / $731.60 / $860.70	Professional		$577.96	$731.60	$860.70