Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.54 / $4,778.89 / $7,845.74	Facility		$854.54	$4,778.89	$7,845.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.36 / $536.86 / $4,132.52	Professional		$267.36	$536.86	$4,132.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.28 / $743.41 / $6,758.97	Professional		$343.28	$743.41	$6,758.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $300.50 / $1,680.67 / $3,453.98	Professional		$300.50	$1,680.67	$3,453.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $495.14 / $1,193.67 / $5,899.48	Facility		$495.14	$1,193.67	$5,899.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $717.65 / $4,485.71 / $10,089.37	Professional		$717.65	$4,485.71	$10,089.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $592.42 / $1,193.67 / $6,927.94	Facility		$592.42	$1,193.67	$6,927.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $581.51 / $3,712.67 / $6,941.73	Professional		$581.51	$3,712.67	$6,941.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $868.95 / $868.95 / $868.95	Facility		$868.95	$868.95	$868.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $1,301.45 / $4,349.10	Professional		$259.14	$1,301.45	$4,349.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $792.00 / $4,079.27 / $8,158.53	Professional		$792.00	$4,079.27	$8,158.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.79 / $627.40 / $5,213.30	Professional		$512.79	$627.40	$5,213.30