Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,981.07 / $6,760.83	Facility		$870.96	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,778.28	Professional		$630.96	$758.58	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $1,995.26	Professional		$1,584.89	$1,621.81	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $2,691.53	Professional		$660.69	$1,174.90	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,089.30 / $7,413.10	Facility		$954.99	$2,089.30	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $5,248.07	Professional		$812.83	$1,380.38	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $2,398.83	Professional		$1,548.82	$1,584.89	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $1,905.46	Professional		$1,348.96	$1,905.46	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,348.96 / $1,819.70	Professional		$6.03	$1,348.96	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $10,232.93	Facility		$3,388.44	$6,309.57	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,089.30	Professional		$741.31	$1,096.48	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,584.89	Professional		$1,348.96	$1,348.96	$1,584.89