Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.95 / $285.64 / $322.00	Facility		$260.95	$285.64	$322.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $332.00 / $1,241.59	Professional		$149.12	$332.00	$1,241.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.96 / $1,989.38 / $2,486.71	Professional		$230.96	$1,989.38	$2,486.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $569.00 / $581.00	Professional		$150.00	$569.00	$581.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.63 / $365.48 / $2,270.03	Facility		$230.63	$365.48	$2,270.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $564.91 / $2,170.19 / $2,973.17	Professional		$564.91	$2,170.19	$2,973.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.63 / $365.48 / $608.09	Facility		$230.63	$365.48	$608.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.57 / $523.32 / $792.32	Professional		$224.57	$523.32	$792.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $479.70 / $509.97 / $541.00	Professional		$479.70	$509.97	$541.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,302.37	Professional		$2,170.19	$2,170.19	$2,302.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $906.38 / $1,147.32 / $1,147.32	Professional		$906.38	$1,147.32	$1,147.32