Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,570.40 / $6,760.83	Facility		$870.96	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,479.11	Professional		$549.54	$691.83	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,698.24	Professional		$1,348.96	$1,412.54	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,951.21	Professional		$602.56	$1,071.52	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,388.44 / $13,489.63	Facility		$891.25	$3,388.44	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $4,466.84	Professional		$707.95	$1,230.27	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $2,187.76	Professional		$1,318.26	$1,445.44	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $1,584.89	Professional		$1,148.15	$1,584.89	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,230.27 / $1,479.11	Professional		$7.08	$1,230.27	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,165.95 / $14,125.38	Facility		$3,162.28	$6,165.95	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,905.46	Professional		$645.65	$1,023.29	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,348.96	Professional		$1,148.15	$1,148.15	$1,348.96