Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.41 / $609.74 / $985.22	Facility		$474.41	$609.74	$985.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.92 / $362.60 / $2,168.80	Professional		$320.92	$362.60	$2,168.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.55 / $756.60 / $945.74	Professional		$500.55	$756.60	$945.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $458.46 / $729.37 / $1,073.58	Professional		$458.46	$729.37	$1,073.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $537.84 / $1,136.29	Facility		$416.78	$537.84	$1,136.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $429.28 / $2,083.90	Professional		$250.07	$429.28	$2,083.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $849.13 / $1,181.42	Facility		$500.14	$849.13	$1,181.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.55 / $849.13 / $1,141.69	Professional		$500.55	$849.13	$1,141.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $405.53 / $416.78 / $743.95	Professional		$405.53	$416.78	$743.95
United Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $250.07 / $1,009.54	Professional		$250.07	$250.07	$1,009.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78