Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,380.38 / $1,995.26	Facility		$562.34	$1,380.38	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $707.95	Professional		$478.63	$562.34	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $1,737.80	Professional		$933.25	$1,380.38	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $933.25 / $1,318.26	Professional		$151.36	$933.25	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $870.96 / $1,659.59	Facility		$724.44	$870.96	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $2,884.03	Professional		$436.52	$724.44	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $933.25	Professional		$870.96	$870.96	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $1,548.82	Professional		$724.44	$776.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,659.59	Facility		$724.44	$724.44	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,819.70	Professional		$436.52	$436.52	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44