Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,570.40 / $6,760.83	Facility		$776.25	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $1,202.26	Professional		$426.58	$512.86	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,445.44	Professional		$891.25	$1,174.90	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,548.82	Professional		$416.87	$691.83	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $870.96 / $1,621.81	Facility		$416.87	$870.96	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $912.01 / $3,715.35	Professional		$478.63	$912.01	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,348.96	Professional		$891.25	$1,122.02	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $933.25 / $1,348.96	Professional		$912.01	$933.25	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,122.02	Professional		$478.63	$851.14	$1,122.02
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 $457.09 / $691.83 / $1,288.25	Professional		$457.09	$691.83	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,148.15	Professional		$776.25	$977.24	$1,148.15