Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.42 / $828.81 / $3,610.00	Professional		$662.42	$828.81	$3,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $980.16 / $2,026.07	Professional		$679.39	$980.16	$2,026.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $663.08 / $1,140.17 / $1,764.47	Professional		$663.08	$1,140.17	$1,764.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $848.45 / $1,307.17 / $4,121.33	Facility		$848.45	$1,307.17	$4,121.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $763.67 / $1,367.96 / $4,679.27	Professional		$763.67	$1,367.96	$4,679.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $880.56 / $1,108.08 / $1,702.83	Facility		$880.56	$1,108.08	$1,702.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $880.56 / $1,201.58 / $1,850.64	Professional		$880.56	$1,201.58	$1,850.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $972.20 / $1,300.59 / $1,907.90	Professional		$972.20	$1,300.59	$1,907.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.47 / $1,124.00 / $2,161.71	Professional		$730.47	$1,124.00	$2,161.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $844.67 / $1,069.20 / $1,257.90	Professional		$844.67	$1,069.20	$1,257.90