Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $4,786.30 / $7,079.46	Facility		$331.13	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $724.44	Professional		$173.78	$223.87	$724.44
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 $199.53 / $467.74 / $588.84	Professional		$199.53	$467.74	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $691.83	Professional		$186.21	$331.13	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $426.58 / $7,943.28	Facility		$208.93	$426.58	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $1,513.56	Professional		$199.53	$363.08	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $537.03	Professional		$338.84	$436.52	$537.03
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 $363.08 / $380.19 / $537.03	Professional		$363.08	$380.19	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $398.11 / $512.86	Professional		$5.01	$398.11	$512.86
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 $190.55 / $275.42 / $524.81	Professional		$190.55	$275.42	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $457.09	Professional		$309.03	$389.05	$457.09