Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.64 / $660.04 / $940.30	Professional		$351.64	$660.04	$940.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.30 / $1,013.33 / $1,441.19	Professional		$405.30	$1,013.33	$1,441.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.45 / $619.83 / $1,100.33	Professional		$342.45	$619.83	$1,100.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $648.29 / $1,203.52 / $6,306.00	Facility		$648.29	$1,203.52	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $600.46 / $996.32 / $2,837.76	Professional		$600.46	$996.32	$2,837.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $826.04 / $1,207.91 / $1,908.09	Facility		$826.04	$1,207.91	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $767.03 / $981.91 / $1,441.19	Professional		$767.03	$981.91	$1,441.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.29 / $1,044.29 / $1,044.29	Facility		$1,044.29	$1,044.29	$1,044.29
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 $550.41 / $800.61 / $1,501.14	Professional		$550.41	$800.61	$1,501.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $715.60 / $841.80 / $1,178.59	Professional		$715.60	$841.80	$1,178.59