Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,398.83 / $6,760.83	Facility		$162.18	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $602.56	Professional		$123.03	$208.93	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $562.34	Professional		$281.84	$389.05	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $354.81	Professional		$131.83	$257.04	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $363.08 / $5,495.41	Facility		$199.53	$363.08	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $1,000.00	Professional		$169.82	$302.00	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $478.63	Professional		$257.04	$331.13	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $489.78	Professional		$223.87	$346.74	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $263.03 / $524.81	Professional		$3.02	$263.03	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $6,760.83	Facility		$2,691.53	$5,011.87	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $389.05	Professional		$138.04	$213.80	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $426.58	Professional		$257.04	$302.00	$426.58