Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,630.78 / $7,943.28	Facility		$676.08	$3,630.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,479.11	Professional		$398.11	$588.84	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,737.80	Professional		$776.25	$1,288.25	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,174.90	Professional		$398.11	$691.83	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,202.26 / $7,244.36	Facility		$616.60	$1,202.26	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,122.02 / $3,235.94	Professional		$602.56	$1,122.02	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,548.82	Professional		$933.25	$1,148.15	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,513.56	Professional		$831.76	$1,148.15	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,202.26	Professional		$407.38	$741.31	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,412.54	Professional		$436.52	$707.95	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,318.26	Professional		$831.76	$977.24	$1,318.26