Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,011.87 / $7,943.28	Facility		$489.78	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $1,148.15	Professional		$288.40	$389.05	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $812.83 / $1,023.29	Professional		$426.58	$812.83	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $933.25	Professional		$269.15	$446.68	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $676.08 / $1,202.26	Facility		$363.08	$676.08	$1,202.26
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	54	$1,023.29	$1,023.29	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $676.08 / $2,344.23	Professional		$323.59	$676.08	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $912.01	Professional		$676.08	$776.25	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $912.01	Professional		$575.44	$616.60	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $794.33	Professional		$331.13	$602.56	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $2,344.23	Facility		$537.03	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $851.14	Professional		$288.40	$426.58	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $794.33	Professional		$524.81	$676.08	$794.33