Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.23 / $3,789.00 / $7,119.04	Facility		$541.23	$3,789.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.74 / $361.25 / $617.75	Professional		$185.74	$361.25	$617.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.47 / $753.00 / $1,095.60	Professional		$394.47	$753.00	$1,095.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $509.30 / $1,367.63	Professional		$177.24	$509.30	$1,367.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.04 / $750.04 / $9,901.92	Facility		$329.04	$750.04	$9,901.92
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $82.05 / $82.05 / $82.05	Facility	AS	$82.05	$82.05	$82.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $420.41 / $811.19 / $2,984.33	Professional		$420.41	$811.19	$2,984.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $425.25 / $935.96 / $8,686.94	Facility		$425.25	$935.96	$8,686.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $394.47 / $787.00 / $1,062.18	Professional		$394.47	$787.00	$1,062.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.01 / $364.31 / $9,579.71	Professional		$176.01	$364.31	$9,579.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,799.00 / $10,320.00	Facility		$4,700.00	$7,799.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.30 / $630.19 / $1,143.66	Professional		$401.30	$630.19	$1,143.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $347.80 / $409.20 / $860.70	Professional		$347.80	$409.20	$860.70