Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $3,090.30 / $6,760.83	Facility		$177.83	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $660.69	Professional		$131.83	$173.78	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $512.86	Professional		$295.12	$416.87	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $478.63	Professional		$151.36	$245.47	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $398.11 / $8,128.31	Facility		$204.17	$398.11	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $549.54	Professional		$177.83	$302.00	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $478.63	Professional		$281.84	$346.74	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $457.09	Professional		$245.47	$380.19	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $269.15 / $478.63	Professional		$3.02	$269.15	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,309.57 / $8,912.51	Facility		$4,265.80	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $416.87	Professional		$147.91	$223.87	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $389.05	Professional		$281.84	$331.13	$389.05