Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,238.72 / $6,025.60	Facility		$380.19	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $537.03 / $1,621.81	Professional		$229.09	$537.03	$1,621.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $2,691.53 / $3,801.89	Professional	50	$676.08	$2,691.53	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $575.44 / $724.44	Professional		$251.19	$575.44	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $1,348.96	Professional		$173.78	$288.40	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $891.25 / $3,235.94	Facility		$380.19	$891.25	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $2,951.21	Professional		$524.81	$776.25	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $1,230.27	Professional		$524.81	$630.96	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $512.86	Professional		$190.55	$338.84	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $4,897.79	Facility		$1,023.29	$1,949.84	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,445.44	Professional		$524.81	$741.31	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $537.03	Professional		$363.08	$457.09	$537.03