Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,511.89 / $6,760.83	Facility		$467.74	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $741.31	Professional		$269.15	$338.84	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $794.33 / $1,023.29	Professional		$416.87	$794.33	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $933.25	Professional		$263.03	$426.58	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $660.69 / $1,348.96	Facility		$338.84	$660.69	$1,348.96
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	54	$977.24	$977.24	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $676.08 / $2,238.72	Professional		$323.59	$676.08	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $912.01	Professional		$660.69	$741.31	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $912.01	Professional		$549.54	$630.96	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $794.33	Professional		$316.23	$575.44	$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 / $416.87 / $851.14	Professional		$288.40	$416.87	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $794.33	Professional		$524.81	$676.08	$794.33