Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,467.37 / $6,456.54	Facility		$707.95	$3,467.37	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $2,089.30	Professional		$346.74	$588.84	$2,089.30
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 / $812.83 / $1,513.56	Professional		$371.54	$812.83	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $707.95 / $1,445.44	Professional		$338.84	$707.95	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $870.96 / $5,754.40	Facility		$426.58	$870.96	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $977.24 / $3,801.89	Professional		$537.03	$977.24	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,348.96	Professional		$758.58	$954.99	$1,348.96
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 $676.08 / $954.99 / $1,445.44	Professional		$676.08	$954.99	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,230.27	Professional		$371.54	$676.08	$1,230.27
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 $380.19 / $616.60 / $1,202.26	Professional		$380.19	$616.60	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,174.90	Professional		$691.83	$812.83	$1,174.90