Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,162.28 / $6,760.83	Facility		$812.83	$3,162.28	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,479.11	Professional		$489.78	$616.60	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,584.89	Professional		$1,230.27	$1,380.38	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $2,511.89	Professional		$549.54	$977.24	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $6,606.93	Facility		$891.25	$1,380.38	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $4,168.69	Professional		$630.96	$1,047.13	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $2,089.30	Professional		$1,230.27	$1,380.38	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $1,584.89	Professional		$1,000.00	$1,548.82	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $1,000.00 / $1,445.44	Professional		$3.98	$1,000.00	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,737.80	Professional		$588.84	$891.25	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,288.25	Professional		$1,096.48	$1,096.48	$1,288.25