Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,235.94 / $6,760.83	Facility		$616.60	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $933.25	Professional		$331.13	$398.11	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $851.14 / $1,071.52	Professional		$371.54	$851.14	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $1,348.96	Professional		$346.74	$645.65	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $812.83 / $7,079.46	Facility		$389.05	$812.83	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $3,981.07	Professional		$380.19	$676.08	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,000.00	Professional		$588.84	$831.76	$1,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $1,000.00	Professional		$707.95	$758.58	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $724.44 / $954.99	Professional		$5.01	$724.44	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,025.60 / $8,511.38	Facility		$2,951.21	$6,025.60	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $977.24	Professional		$363.08	$524.81	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $870.96	Professional		$575.44	$741.31	$870.96