Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.49 / $4,604.83 / $7,119.04	Facility		$958.49	$4,604.83	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $601.70 / $1,420.54	Professional		$305.64	$601.70	$1,420.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.02 / $927.13 / $1,781.22	Professional		$674.02	$927.13	$1,781.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $816.74 / $1,523.29	Professional		$303.95	$816.74	$1,523.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $513.54 / $979.95 / $3,396.00	Facility		$513.54	$979.95	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $593.53 / $1,098.39 / $4,561.84	Professional		$593.53	$1,098.39	$4,561.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $729.17 / $1,322.48 / $1,669.18	Facility		$729.17	$1,322.48	$1,669.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.87 / $981.30 / $1,655.68	Professional		$691.87	$981.30	$1,655.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $858.42 / $858.42 / $858.42	Facility		$858.42	$858.42	$858.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.14 / $628.26 / $1,727.45	Professional		$320.14	$628.26	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $4,878.97 / $6,267.00	Facility		$2,679.00	$4,878.97	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.65 / $857.38 / $1,606.55	Professional		$562.65	$857.38	$1,606.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $631.50 / $742.90 / $1,389.20	Professional		$631.50	$742.90	$1,389.20