Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.71 / $4,760.00 / $7,706.68	Facility		$973.71	$4,760.00	$7,706.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.06 / $528.66 / $973.71	Professional		$401.06	$528.66	$973.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.91 / $865.91 / $978.19	Professional		$764.91	$865.91	$978.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $574.29 / $1,061.36	Professional		$325.95	$574.29	$1,061.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.89 / $947.01 / $8,586.74	Facility		$599.89	$947.01	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.66 / $832.21 / $5,068.89	Professional		$458.66	$832.21	$5,068.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,068.88 / $3,170.91	Facility		$645.00	$1,068.88	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $552.94 / $764.91 / $1,068.88	Professional		$552.94	$764.91	$1,068.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $658.50 / $863.30	Professional		$5.00	$658.50	$863.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.31 / $774.10 / $1,119.01	Professional		$395.31	$774.10	$1,119.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $674.50 / $674.50 / $793.50	Professional		$674.50	$674.50	$793.50