Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.30 / $980.48 / $1,371.47	Facility		$543.30	$980.48	$1,371.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.08 / $388.08 / $488.88	Professional		$388.08	$388.08	$488.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.03 / $915.23 / $1,144.03	Professional		$579.03	$915.23	$1,144.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $831.60 / $2,014.56	Professional		$428.40	$831.60	$2,014.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $388.08 / $650.38 / $1,978.37	Facility		$388.08	$650.38	$1,978.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $504.00 / $1,626.46	Professional		$302.39	$504.00	$1,626.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $605.29 / $924.12 / $1,290.24	Facility		$605.29	$924.12	$1,290.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $604.79 / $924.12 / $1,285.20	Professional		$604.79	$924.12	$1,285.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $899.64	Professional		$504.00	$504.00	$899.64
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $1,159.20	Professional		$302.39	$302.39	$1,159.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.16 / $504.00 / $504.00	Professional		$398.16	$504.00	$504.00