Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.09 / $2,912.34 / $7,119.04	Facility		$395.09	$2,912.34	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.33 / $346.21 / $563.45	Professional		$293.33	$346.21	$563.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $804.01 / $1,006.99	Professional		$564.00	$804.01	$1,006.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.91 / $488.57 / $822.24	Professional		$310.91	$488.57	$822.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $349.26 / $698.73 / $909.68	Facility		$349.26	$698.73	$909.68
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,063.92 / $1,063.92 / $1,063.92	Facility	54	$1,063.92	$1,063.92	$1,063.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $698.73 / $2,426.88	Professional		$342.55	$698.73	$2,426.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $702.13 / $922.36	Facility		$207.58	$702.13	$922.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $742.55 / $922.36	Professional		$540.00	$742.55	$922.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $528.54 / $659.93	Professional		$269.32	$528.54	$659.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.93 / $495.14 / $1,007.39	Professional		$324.93	$495.14	$1,007.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $536.88 / $679.60 / $799.50	Professional		$536.88	$679.60	$799.50