Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.70 / $1,554.38 / $3,576.15	Facility		$391.70	$1,554.38	$3,576.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $184.37 / $482.08	Professional		$68.04	$184.37	$482.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.27 / $282.83 / $383.71	Professional		$161.27	$282.83	$383.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $177.35 / $341.89	Professional		$95.45	$177.35	$341.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.51 / $332.06 / $3,258.00	Facility		$155.51	$332.06	$3,258.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $262.79 / $262.79	Facility	52	$262.79	$262.79	$262.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $297.10 / $542.08	Professional		$157.93	$297.10	$542.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.14 / $332.06 / $711.69	Facility		$171.14	$332.06	$711.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $227.98 / $365.89	Professional		$157.93	$227.98	$365.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $739.49 / $5,835.78 / $10,079.95	Facility		$739.49	$5,835.78	$10,079.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $136.19 / $757.67	Professional		$70.19	$136.19	$757.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $282.06 / $399.65	Professional		$143.60	$282.06	$399.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $151.40 / $278.30	Professional		$128.69	$151.40	$278.30