Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,248.07 / $7,943.28	Facility		$891.25	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,479.11	Professional		$489.78	$691.83	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,548.82	Professional		$1,230.27	$1,230.27	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $2,511.89	Professional		$537.03	$933.25	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,162.28 / $9,549.93	Facility		$912.01	$3,162.28	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,071.52 / $4,073.80	Professional		$602.56	$1,071.52	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,621.81	Professional		$1,071.52	$1,230.27	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,513.56	Professional		$1,023.29	$1,513.56	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,047.13 / $1,412.54	Professional		$6.03	$1,047.13	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,964.78	Facility		$4,786.30	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,659.59	Professional		$575.44	$851.14	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,258.93	Professional		$1,071.52	$1,071.52	$1,258.93