Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,235.94 / $6,760.83	Facility		$588.84	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $870.96	Professional		$338.84	$389.05	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,096.48	Professional		$676.08	$870.96	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,318.26	Professional		$338.84	$524.81	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $5,370.32	Facility		$588.84	$954.99	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $3,235.94	Professional		$363.08	$724.44	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,000.00	Professional		$758.58	$912.01	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $1,000.00	Professional		$676.08	$707.95	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $851.14	Professional		$363.08	$645.65	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $977.24	Professional		$346.74	$524.81	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $870.96	Professional		$575.44	$741.31	$870.96