Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.79 / $2,977.00 / $6,066.00	Facility		$390.79	$2,977.00	$6,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $385.83 / $751.51	Professional		$115.06	$385.83	$751.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.04 / $806.40 / $1,149.26	Professional		$244.04	$806.40	$1,149.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.60 / $485.45 / $1,351.22	Professional		$128.60	$485.45	$1,351.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.17 / $913.50 / $3,416.04	Facility		$213.17	$913.50	$3,416.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $394.39 / $928.04 / $5,520.83	Professional		$394.39	$928.04	$5,520.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $280.19 / $978.81 / $1,311.70	Facility		$280.19	$978.81	$1,311.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.14 / $806.40 / $1,235.75	Professional		$250.14	$806.40	$1,235.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $342.51 / $1,421.20	Professional		$124.34	$342.51	$1,421.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.11 / $793.69 / $1,283.85	Professional		$414.11	$793.69	$1,283.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $290.70 / $836.50	Professional		$247.10	$290.70	$836.50