Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,396.79 / $2,904.71 / $4,059.78	Facility		$1,396.79	$2,904.71	$4,059.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.22 / $946.16 / $3,197.00	Professional		$581.22	$946.16	$3,197.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,934.27 / $1,992.30 / $2,050.33	Facility		$1,934.27	$1,992.30	$2,050.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.20 / $1,473.05 / $1,841.32	Professional		$1,275.20	$1,473.05	$1,841.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $600.34 / $808.35 / $2,859.06	Professional		$600.34	$808.35	$2,859.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $899.73 / $1,504.41 / $1,715.01	Facility		$899.73	$1,504.41	$1,715.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $688.61 / $1,050.76 / $3,101.63	Professional		$688.61	$1,050.76	$3,101.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $1,447.97 / $2,203.11	Facility		$1,196.00	$1,447.97	$2,203.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,095.00 / $1,366.67 / $1,715.01	Professional		$1,095.00	$1,366.67	$1,715.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $603.72 / $684.92 / $1,191.33	Professional		$603.72	$684.92	$1,191.33
United Facility/Professional Professional Modifier Low / Median / High Price $688.61 / $815.19 / $1,208.20	Professional		$688.61	$815.19	$1,208.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $947.37 / $1,199.20 / $1,410.90	Professional		$947.37	$1,199.20	$1,410.90