Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,801.89 / $6,760.83	Facility		$512.86	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $1,698.24	Professional		$302.00	$501.19	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,412.54	Professional		$575.44	$954.99	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $1,096.48	Professional		$295.12	$575.44	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,000.00 / $7,244.36	Facility		$489.78	$1,000.00	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $933.25 / $2,398.83	Professional		$478.63	$933.25	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,288.25	Professional		$724.44	$870.96	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,288.25	Professional		$588.84	$891.25	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,023.29	Professional		$316.23	$575.44	$1,023.29
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 $331.13 / $549.54 / $1,148.15	Professional		$331.13	$549.54	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,096.48	Professional		$630.96	$741.31	$1,096.48