Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,801.89 / $6,760.83	Facility		$478.63	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $954.99	Professional		$275.42	$407.38	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $676.08 / $1,023.29	Professional		$295.12	$676.08	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $1,348.96	Professional		$269.15	$549.54	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $660.69 / $6,309.57	Facility		$338.84	$660.69	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $2,884.03	Professional		$398.11	$758.58	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,023.29	Professional		$616.60	$758.58	$1,023.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,047.13	Professional		$575.44	$758.58	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $831.76 / $1,047.13	Professional		$5.01	$831.76	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $8,912.51	Facility		$2,951.21	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $891.25	Professional		$309.03	$489.78	$891.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $891.25	Professional		$549.54	$645.65	$891.25