Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,373.00 / $6,066.00	Facility		$350.00	$2,373.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $565.90 / $2,619.00	Professional		$79.98	$565.90	$2,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.84 / $791.12 / $1,070.29	Professional		$169.84	$791.12	$1,070.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $425.75 / $1,376.33	Professional		$71.03	$425.75	$1,376.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.94 / $791.12 / $1,441.20	Facility		$165.94	$791.12	$1,441.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.37 / $1,034.79 / $1,891.82	Professional		$205.37	$1,034.79	$1,891.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $185.67 / $791.12 / $1,230.64	Facility		$185.67	$791.12	$1,230.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $791.12 / $1,208.51	Professional		$165.94	$791.12	$1,208.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $323.02 / $658.77	Professional		$72.45	$323.02	$658.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.73 / $929.45 / $1,458.73	Professional		$537.73	$929.45	$1,458.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $159.00 / $758.20	Professional		$135.19	$159.00	$758.20