Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,398.83 / $5,370.32	Facility		$204.17	$2,398.83	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $1,122.02	Professional		$186.21	$380.19	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $630.96	Professional		$426.58	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $812.83	Professional		$173.78	$323.59	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $5,128.61	Facility		$457.09	$758.58	$5,128.61
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	AS	$85.11	$85.11	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,380.38	Professional		$251.19	$478.63	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $602.56	Professional		$457.09	$537.03	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $575.44	Professional		$398.11	$478.63	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $478.63	Professional		$186.21	$331.13	$478.63
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 $218.78 / $354.81 / $691.83	Professional		$218.78	$354.81	$691.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $524.81	Professional		$346.74	$446.68	$524.81