Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $1,052.99 / $1,462.90	Facility		$416.78	$1,052.99	$1,462.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $757.05 / $946.32	Professional		$500.14	$757.05	$946.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $562.65 / $754.37	Professional		$354.26	$562.65	$754.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $537.84 / $1,066.96	Facility		$416.78	$537.84	$1,066.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.52 / $254.94 / $1,419.79	Professional		$226.52	$254.94	$1,419.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $583.49 / $913.41	Facility		$500.14	$583.49	$913.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $691.05 / $1,087.38	Professional		$500.14	$691.05	$1,087.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $743.95	Professional		$416.78	$416.78	$743.95
United Facility/Professional Professional Modifier Low / Median / High Price $226.52 / $226.84 / $755.67	Professional		$226.52	$226.84	$755.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78