Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.16 / $1,104.16 / $1,168.84	Facility		$1,104.16	$1,104.16	$1,168.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.30 / $852.61 / $1,427.00	Professional		$638.30	$852.61	$1,427.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,739.43	Facility		$1,115.23	$1,115.23	$1,739.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.23 / $1,842.38 / $2,302.96	Professional		$1,115.23	$1,842.38	$2,302.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.24 / $1,589.13 / $1,712.05	Professional		$1,502.24	$1,589.13	$1,712.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $993.37 / $1,877.07 / $7,399.97	Facility		$993.37	$1,877.07	$7,399.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $708.22 / $818.51 / $2,156.57	Professional		$708.22	$818.51	$2,156.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,734.34 / $1,739.43 / $2,156.57	Facility		$1,734.34	$1,739.43	$2,156.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,424.60 / $2,031.90 / $3,324.03	Professional		$1,424.60	$2,031.90	$3,324.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,589.13 / $1,701.96 / $2,879.08	Professional		$1,589.13	$1,701.96	$2,879.08
United Facility/Professional Professional Modifier Low / Median / High Price $701.90 / $788.90 / $2,074.14	Professional		$701.90	$788.90	$2,074.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,549.67 / $1,549.67 / $1,549.67	Facility		$1,549.67	$1,549.67	$1,549.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,224.24 / $1,549.67 / $1,549.67	Professional		$1,224.24	$1,549.67	$1,549.67