Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,238.72 / $6,025.60	Facility		$199.53	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $891.25	Professional		$151.36	$251.19	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $645.65	Professional		$354.81	$501.19	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $346.74 / $645.65	Professional		$147.91	$346.74	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $575.44 / $4,897.79	Facility		$251.19	$575.44	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $1,122.02	Professional		$245.47	$416.87	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $602.56	Professional		$331.13	$457.09	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $602.56	Professional		$269.15	$416.87	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $501.19 / $602.56	Professional		$5.01	$501.19	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $562.34	Professional		$158.49	$288.40	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $478.63	Professional		$275.42	$323.59	$478.63