Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,122.02 / $1,621.81	Facility		$446.68	$1,122.02	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $588.84	Professional		$407.38	$467.74	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $1,659.59	Facility		$1,584.89	$1,621.81	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,412.54	Professional		$1,122.02	$1,122.02	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $758.58 / $1,047.13	Professional		$151.36	$758.58	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $1,513.56	Facility		$588.84	$707.95	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $2,344.23	Professional		$354.81	$588.84	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $1,258.93	Professional		$588.84	$630.96	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,348.96	Facility		$588.84	$588.84	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,479.11	Professional		$354.81	$354.81	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84