Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,511.89 / $6,760.83	Facility		$316.23	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $891.25	Professional		$169.82	$309.03	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $870.96	Professional		$457.09	$602.56	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $691.83	Professional		$190.55	$363.08	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $660.69 / $4,365.16	Facility		$331.13	$660.69	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $912.01	Professional		$323.59	$512.86	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $794.33	Professional		$457.09	$549.54	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $616.60	Professional		$186.21	$338.84	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,370.32	Facility		$1,819.70	$3,890.45	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $676.08	Professional		$229.09	$338.84	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $616.60	Professional		$371.54	$436.52	$616.60