Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,238.72 / $6,025.60	Facility		$398.11	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $851.14	Professional		$117.49	$245.47	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $602.56	Professional		$128.82	$302.00	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $331.13 / $478.63	Professional		$117.49	$331.13	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $309.03 / $2,951.21	Facility		$147.91	$309.03	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $1,862.09	Professional		$208.93	$398.11	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $616.60	Professional		$269.15	$323.59	$616.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $676.08	Professional		$194.98	$389.05	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $575.44	Professional		$125.89	$275.42	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $6,309.57	Facility		$1,778.28	$3,630.78	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $501.19	Professional		$128.82	$234.42	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $562.34	Professional		$239.88	$288.40	$562.34