Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,398.83 / $7,079.46	Facility		$398.11	$2,398.83	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $234.42 / $758.58	Professional		$97.72	$234.42	$758.58
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 $112.20 / $269.15 / $562.34	Professional		$112.20	$269.15	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $309.03 / $602.56	Professional		$97.72	$309.03	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $2,238.72	Facility		$128.82	$275.42	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $1,737.80	Professional		$204.17	$389.05	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $575.44	Professional		$229.09	$302.00	$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 $186.21 / $380.19 / $645.65	Professional		$186.21	$380.19	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $549.54	Professional		$107.15	$251.19	$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 $107.15 / $223.87 / $478.63	Professional		$107.15	$223.87	$478.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $537.03	Professional		$199.53	$245.47	$537.03