Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $810.80 / $1,134.13	Facility		$416.78	$810.80	$1,134.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.07 / $320.92 / $404.28	Professional		$275.07	$320.92	$404.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $756.60 / $945.74	Professional		$500.14	$756.60	$945.74
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 $395.94 / $542.35 / $1,066.96	Facility		$395.94	$542.35	$1,066.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $265.27 / $1,628.06	Professional		$250.07	$265.27	$1,628.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $729.37 / $1,066.96	Facility		$500.14	$729.37	$1,066.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $729.37 / $1,075.52	Professional		$500.14	$729.37	$1,075.52
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 $250.07 / $250.07 / $908.58	Professional		$250.07	$250.07	$908.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78