Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,570.40 / $6,760.83	Facility		$346.74	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $524.81	Professional		$190.55	$229.09	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $478.63 / $602.56	Professional		$213.80	$478.63	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $851.14	Professional		$194.98	$363.08	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $457.09 / $2,754.23	Facility		$213.80	$457.09	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $1,548.82	Professional		$208.93	$371.54	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $575.44	Professional		$331.13	$467.74	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $575.44	Professional		$251.19	$398.11	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $407.38 / $549.54	Professional		$5.01	$407.38	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $4,897.79	Facility		$1,318.26	$2,818.38	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $562.34	Professional		$204.17	$295.12	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $489.78	Professional		$331.13	$416.87	$489.78