Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.55 / $1,011.61 / $1,415.01	Facility		$560.55	$1,011.61	$1,415.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.20 / $452.40 / $504.40	Professional		$343.20	$452.40	$504.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.52 / $944.60 / $1,180.75	Professional		$624.52	$944.60	$1,180.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $910.00 / $1,048.33	Professional		$572.00	$910.00	$1,048.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $624.52 / $1,196.00	Facility		$494.00	$624.52	$1,196.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $520.00 / $2,041.19	Professional		$312.00	$520.00	$2,041.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $953.47 / $1,155.58	Facility		$624.00	$953.47	$1,155.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $953.47 / $1,326.00	Professional		$624.00	$953.47	$1,326.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $520.00 / $928.20	Professional		$520.00	$520.00	$928.20
United Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $1,064.70	Professional		$312.00	$312.00	$1,064.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $520.00 / $520.00	Professional		$520.00	$520.00	$520.00