Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,370.32 / $7,943.28	Facility		$812.83	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,659.59	Professional		$588.84	$676.08	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,905.46	Professional		$1,445.44	$1,548.82	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $2,238.72	Professional		$660.69	$1,174.90	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $6,025.60	Facility		$954.99	$1,445.44	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $5,495.41	Professional		$758.58	$1,258.93	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $2,137.96	Professional		$1,412.54	$1,513.56	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $1,778.28	Professional		$1,258.93	$1,778.28	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,258.93 / $1,698.24	Professional		$5.01	$1,258.93	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,897.79 / $7,585.78	Facility		$1,445.44	$4,897.79	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,905.46	Professional		$691.83	$1,023.29	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,479.11	Professional		$1,258.93	$1,258.93	$1,479.11