Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.48 / $2,256.67 / $3,156.57	Facility		$1,250.48	$2,256.67	$3,156.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.60 / $893.20 / $1,593.02	Professional		$765.60	$893.20	$1,593.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.15 / $2,106.59 / $2,633.23	Professional		$1,393.15	$2,106.59	$2,633.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $2,030.00 / $3,525.17	Professional		$1,276.00	$2,030.00	$3,525.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,393.15 / $2,668.00	Facility		$1,102.00	$1,393.15	$2,668.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $1,160.00 / $4,553.41	Professional		$696.00	$1,160.00	$4,553.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,126.96 / $2,577.84	Facility		$1,392.00	$2,126.96	$2,577.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $2,126.96 / $2,958.00	Professional		$1,392.00	$2,126.96	$2,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $2,070.60	Professional		$1,160.00	$1,160.00	$2,070.60
United Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $696.00 / $2,375.10	Professional		$696.00	$696.00	$2,375.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,160.00	Professional		$1,160.00	$1,160.00	$1,160.00