Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.01 / $1,546.60 / $2,163.34	Facility		$857.01	$1,546.60	$2,163.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.15 / $612.15 / $771.15	Professional		$612.15	$612.15	$771.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.56 / $1,443.99 / $1,804.99	Professional		$913.56	$1,443.99	$1,804.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $1,062.22 / $1,391.25	Professional		$675.75	$1,062.22	$1,391.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $1,033.50 / $3,120.66	Facility		$795.00	$1,033.50	$3,120.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $795.00 / $2,565.54	Professional		$477.00	$795.00	$2,565.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $954.79 / $1,457.71 / $2,035.20	Facility		$954.79	$1,457.71	$2,035.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $1,457.71 / $2,027.25	Professional		$954.00	$1,457.71	$2,027.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $795.00 / $1,419.08	Professional		$795.00	$795.00	$1,419.08
United Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $477.00 / $1,733.10	Professional		$477.00	$477.00	$1,733.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $795.00 / $795.00	Professional		$628.04	$795.00	$795.00