Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,290.87 / $6,760.83	Facility		$275.42	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $446.68 / $1,819.70	Professional		$141.25	$446.68	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,258.93	Professional		$316.23	$1,000.00	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $562.34 / $1,380.38	Professional		$151.36	$562.34	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,000.00 / $1,905.46	Facility		$309.03	$1,000.00	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,023.29 / $1,905.46	Professional		$380.19	$1,023.29	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,047.13 / $1,230.27	Professional		$346.74	$1,047.13	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,202.26	Professional		$380.19	$380.19	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $338.84 / $870.96	Professional		$144.54	$338.84	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $512.86 / $1,659.59	Professional		$169.82	$512.86	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $1,000.00	Professional		$288.40	$338.84	$1,000.00