Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.52 / $3,576.15 / $7,119.04	Facility		$939.52	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $408.26 / $751.54	Professional		$123.58	$408.26	$751.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $646.00 / $646.00	Facility		$646.00	$646.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $398.00 / $1,213.01	Professional		$163.99	$398.00	$1,213.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.21 / $580.64 / $1,057.69	Professional		$126.21	$580.64	$1,057.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.89 / $682.75 / $3,973.85	Facility		$215.89	$682.75	$3,973.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.76 / $926.37 / $3,275.20	Professional		$401.76	$926.37	$3,275.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.39 / $951.23 / $2,532.54	Facility		$298.39	$951.23	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $725.11 / $1,213.01	Professional		$285.30	$725.11	$1,213.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $440.84 / $2,774.96	Professional		$126.81	$440.84	$2,774.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.66 / $661.25 / $1,280.41	Professional		$432.66	$661.25	$1,280.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $307.80 / $986.80	Professional		$251.60	$307.80	$986.80