Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.63 / $4,964.00 / $7,119.04	Facility		$1,087.63	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.11 / $517.30 / $637.97	Professional		$333.11	$517.30	$637.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.49 / $926.18 / $1,183.26	Professional		$660.49	$926.18	$1,183.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $333.52 / $566.41 / $903.04	Professional		$333.52	$566.41	$903.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.84 / $805.61 / $1,056.07	Facility		$384.84	$805.61	$1,056.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $406.75 / $786.48 / $2,728.36	Professional		$406.75	$786.48	$2,728.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $790.30 / $1,091.70	Facility		$229.86	$790.30	$1,091.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $636.63 / $862.69 / $1,091.70	Professional		$636.63	$862.69	$1,091.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.42 / $579.50 / $774.30	Professional		$304.42	$579.50	$774.30
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 $380.93 / $580.46 / $1,081.10	Professional		$380.93	$580.46	$1,081.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $631.67 / $799.60 / $940.70	Professional		$631.67	$799.60	$940.70