Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,021.95 / $1,021.95 / $1,021.95	Facility	26	$1,021.95	$1,021.95	$1,021.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.93 / $1,835.43 / $3,520.36	Professional		$1,590.93	$1,835.43	$3,520.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,715.53 / $3,288.95 / $3,687.05	Professional		$2,715.53	$3,288.95	$3,687.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.89 / $1,746.32 / $4,691.07	Professional		$1,145.89	$1,746.32	$4,691.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $374.78 / $574.59 / $1,347.42	Professional	26	$374.78	$574.59	$1,347.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $3,718.96 / $3,718.96 / $3,718.96	Facility	26	$3,718.96	$3,718.96	$3,718.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,610.93 / $3,108.62 / $5,131.07	Professional		$1,610.93	$3,108.62	$5,131.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,982.94 / $3,048.77 / $3,687.05	Professional		$1,982.94	$3,048.77	$3,687.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $444.63 / $1,343.32 / $2,617.92	Professional		$444.63	$1,343.32	$2,617.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.81 / $2,786.06 / $3,812.53	Professional		$1,543.81	$2,786.06	$3,812.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,067.90 / $2,617.60 / $3,079.60	Professional		$2,067.90	$2,617.60	$3,079.60