Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,071.52	Facility		$851.14	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $1,071.52	Professional		$851.14	$870.96	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,479.11	Professional		$831.76	$1,174.90	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,445.44 / $1,698.24	Professional		$151.36	$1,445.44	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $707.95 / $1,071.52	Facility		$263.03	$707.95	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $891.25 / $1,096.48	Professional		$302.00	$891.25	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $933.25	Professional		$229.09	$338.84	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $933.25	Professional		$295.12	$295.12	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $2,884.03	Professional		$2,137.96	$2,398.83	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,071.52	Professional		$891.25	$891.25	$1,071.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $891.25	Professional		$691.83	$891.25	$891.25