Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $5,370.32 / $11,481.54	Facility		$363.08	$5,370.32	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $891.25 / $2,884.03	Professional		$245.47	$891.25	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,754.23 / $3,467.37	Professional		$524.81	$2,754.23	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,513.56 / $2,511.89	Professional		$229.09	$1,513.56	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,235.94 / $14,454.40	Facility		$562.34	$3,235.94	$14,454.40
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	52	$851.14	$851.14	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,344.23 / $4,365.16	Professional		$630.96	$2,344.23	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,238.72 / $3,235.94	Professional		$575.44	$2,238.72	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $3,235.94	Professional		$630.96	$630.96	$3,235.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $15,135.61	Facility		$7,413.10	$11,481.54	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,202.26 / $3,630.78	Professional		$281.84	$1,202.26	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $2,691.53	Professional		$467.74	$549.54	$2,691.53