Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $7,943.28	Facility		$1,412.54	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,454.71	Professional		$912.01	$1,122.02	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,884.03	Professional		$1,862.09	$2,290.87	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $3,162.28	Professional		$933.25	$1,380.38	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $6,606.93	Facility		$1,288.25	$2,187.76	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $10,715.19	Professional		$1,000.00	$1,949.84	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,691.53	Professional		$2,089.30	$2,344.23	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $2,691.53	Professional		$1,995.26	$2,041.74	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $2,041.74	Professional		$870.96	$1,548.82	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,884.03	Professional		$954.99	$1,445.44	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,238.72	Professional		$1,513.56	$1,905.46	$2,238.72