Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,511.89 / $6,760.83	Facility		$257.04	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $645.65	Professional		$186.21	$245.47	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $741.31	Professional		$478.63	$588.84	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $416.87 / $1,096.48	Professional		$208.93	$416.87	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $1,621.81	Facility		$323.59	$562.34	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $891.25	Professional		$302.00	$512.86	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $691.83	Professional		$457.09	$562.34	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $691.83	Professional		$398.11	$575.44	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $467.74 / $660.69	Professional		$6.03	$467.74	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,202.26 / $2,344.23	Facility		$562.34	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $676.08	Professional		$239.88	$389.05	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $575.44	Professional		$398.11	$467.74	$575.44