Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,235.94 / $6,760.83	Facility		$831.76	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,348.96	Professional		$478.63	$562.34	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,513.56	Professional		$977.24	$1,230.27	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,995.26	Professional		$501.19	$758.58	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,445.44 / $9,772.37	Facility		$831.76	$1,445.44	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,148.15 / $6,309.57	Professional		$549.54	$1,148.15	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,479.11	Professional		$1,174.90	$1,288.25	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,445.44	Professional		$1,023.29	$1,071.52	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,174.90	Professional		$501.19	$891.25	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,120.11 / $14,125.38	Facility		$5,128.61	$9,120.11	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,513.56	Professional		$512.86	$812.83	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,230.27	Professional		$812.83	$1,047.13	$1,230.27