Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,801.89 / $6,760.83	Facility		$1,071.52	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $3,981.07	Professional		$645.65	$1,096.48	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,570.40	Professional		$1,659.59	$2,041.74	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $2,290.87	Professional		$645.65	$1,096.48	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $5,495.41	Facility		$1,071.52	$1,995.26	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,691.53	Professional		$977.24	$1,621.81	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,344.23	Professional		$1,548.82	$1,905.46	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,819.70	Professional		$645.65	$1,148.15	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $6,760.83	Facility		$2,691.53	$5,011.87	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Professional		$776.25	$1,122.02	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,819.70	Professional		$1,230.27	$1,513.56	$1,819.70