Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,801.89 / $6,760.83	Facility		$776.25	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,778.28	Professional		$446.68	$645.65	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $1,905.46	Professional		$741.31	$1,445.44	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,258.93	Professional		$446.68	$776.25	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,288.25 / $7,244.36	Facility		$602.56	$1,288.25	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,258.93 / $3,715.35	Professional		$645.65	$1,258.93	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,737.80	Professional		$1,071.52	$1,288.25	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,318.26	Professional		$933.25	$1,288.25	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,380.38	Professional		$478.63	$851.14	$1,380.38
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 $489.78 / $776.25 / $1,548.82	Professional		$489.78	$776.25	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,479.11	Professional		$954.99	$1,122.02	$1,479.11