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 $409.10 / $768.51 / $2,696.67	Professional		$409.10	$768.51	$2,696.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.02 / $1,015.17 / $1,268.96	Professional		$562.02	$1,015.17	$1,268.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $397.11 / $561.13 / $1,374.13	Professional		$397.11	$561.13	$1,374.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $653.63 / $1,226.76 / $7,104.12	Facility		$653.63	$1,226.76	$7,104.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $488.71 / $859.42 / $1,498.46	Professional		$488.71	$859.42	$1,498.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $825.26 / $1,330.42 / $2,052.00	Facility		$825.26	$1,330.42	$2,052.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $673.00 / $912.48 / $1,330.42	Professional		$673.00	$912.48	$1,330.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $396.66 / $735.72 / $2,155.19	Professional		$396.66	$735.72	$2,155.19
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 $454.24 / $669.62 / $1,255.53	Professional		$454.24	$669.62	$1,255.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $656.41 / $909.10 / $977.60	Professional		$656.41	$909.10	$977.60