Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $1,026.92 / $1,436.43	Facility		$527.87	$1,026.92	$1,436.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $406.46 / $512.03	Professional		$348.39	$406.46	$512.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.97 / $958.96 / $1,198.70	Professional		$633.97	$958.96	$1,198.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $681.18 / $1,351.35	Facility		$527.87	$681.18	$1,351.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.72 / $327.27 / $1,703.49	Professional		$316.72	$327.27	$1,703.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $633.44 / $739.02 / $1,087.41	Facility		$633.44	$739.02	$1,087.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.44 / $802.36 / $1,087.41	Professional		$633.44	$802.36	$1,087.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $527.87 / $942.25	Professional		$527.87	$527.87	$942.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.72 / $316.72 / $976.56	Professional		$316.72	$316.72	$976.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $527.87 / $527.87	Professional		$527.87	$527.87	$527.87