Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,235.94 / $6,760.83	Facility		$257.04	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $363.08	Professional		$141.25	$169.82	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $436.52	Professional		$162.18	$346.74	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $851.14	Professional		$144.54	$269.15	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $354.81 / $5,128.61	Facility		$154.88	$354.81	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $1,122.02	Professional		$162.18	$295.12	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $407.38	Professional		$309.03	$363.08	$407.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $407.38	Professional		$295.12	$316.23	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $380.19	Professional		$3.98	$3.98	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $6,309.57	Facility		$2,511.89	$4,786.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $446.68	Professional		$158.49	$239.88	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $346.74	Professional		$229.09	$288.40	$346.74