Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $8,317.64	Facility		$1,584.89	$1,584.89	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,584.89	Professional		$831.76	$1,096.48	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,548.13	Professional		$2,818.38	$2,818.38	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,548.82 / $11,220.18	Professional		$851.14	$1,548.82	$11,220.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $19,498.45	Facility		$1,584.89	$2,691.53	$19,498.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $5,495.41	Professional		$1,348.96	$2,454.71	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,466.84 / $5,248.07	Professional		$3,981.07	$4,466.84	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $18,620.87 / $23,988.33	Facility		$10,715.19	$18,620.87	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $4,365.16	Professional		$1,288.25	$2,454.71	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,041.74	Professional		$1,348.96	$1,737.80	$2,041.74