Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.76 / $2,056.76 / $2,118.46	Facility		$2,056.76	$2,056.76	$2,118.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $2,056.76	Professional		$1,645.41	$1,645.41	$2,056.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.22 / $1,748.25 / $3,684.10	Professional		$352.22	$1,748.25	$3,684.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $2,269.17 / $2,317.02	Professional		$150.00	$2,269.17	$2,317.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $802.34 / $2,056.76 / $2,784.05	Facility		$802.34	$2,056.76	$2,784.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $3,095.09	Professional		$1,713.97	$1,713.97	$3,095.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,887.53 / $3,619.01 / $10,777.98	Facility		$1,887.53	$3,619.01	$10,777.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $400.25 / $2,355.03 / $3,684.10	Professional		$400.25	$2,355.03	$3,684.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $807.27 / $910.44 / $1,676.02	Professional		$807.27	$910.44	$1,676.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,818.35	Professional		$1,713.97	$1,713.97	$1,818.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,354.04 / $1,713.97 / $1,713.97	Professional		$1,354.04	$1,713.97	$1,713.97