Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.40 / $3,167.00 / $6,298.62	Facility		$389.40	$3,167.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $795.65 / $1,080.41	Professional		$153.76	$795.65	$1,080.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $839.79 / $1,826.02	Professional		$223.98	$839.79	$1,826.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.47 / $687.39 / $1,185.59	Professional		$124.47	$687.39	$1,185.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.95 / $980.27 / $2,969.00	Facility		$204.95	$980.27	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $410.87 / $1,146.82 / $2,482.27	Professional		$410.87	$1,146.82	$2,482.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.17 / $693.86 / $1,643.62	Facility		$325.17	$693.86	$1,643.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $1,292.06 / $1,751.05	Professional		$290.39	$1,292.06	$1,751.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $569.70 / $1,110.39	Professional		$129.93	$569.70	$1,110.39
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 $663.74 / $882.80 / $1,815.96	Professional		$663.74	$882.80	$1,815.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $236.60 / $278.30 / $1,294.59	Professional		$236.60	$278.30	$1,294.59