Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.78 / $1,134.86 / $1,144.84	Professional		$767.78	$1,134.86	$1,144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,475.17 / $1,713.41 / $1,970.15	Professional		$1,475.17	$1,713.41	$1,970.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $619.48 / $1,031.80 / $1,750.75	Professional		$619.48	$1,031.80	$1,750.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,881.95 / $8,328.70	Facility		$1,089.00	$1,881.95	$8,328.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.96 / $1,563.80 / $5,167.68	Professional		$788.96	$1,563.80	$5,167.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,881.95 / $2,571.84	Facility		$1,102.00	$1,881.95	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,009.00 / $1,507.28 / $2,042.52	Professional		$1,009.00	$1,507.28	$2,042.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,304.50 / $1,827.70	Professional		$5.00	$1,304.50	$1,827.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.13 / $1,394.32 / $2,103.57	Professional		$743.13	$1,394.32	$2,103.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,305.70 / $1,305.70 / $1,536.10	Professional		$1,305.70	$1,305.70	$1,536.10