Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.98 / $619.98 / $1,745.01	Facility		$619.98	$619.98	$1,745.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $495.98 / $619.98	Professional		$495.98	$495.98	$619.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.25 / $505.31 / $507.30	Professional		$404.25	$505.31	$507.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $512.10 / $522.90	Professional		$150.00	$512.10	$522.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.42 / $576.48 / $763.81	Facility		$268.42	$576.48	$763.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $707.81	Professional		$516.65	$516.65	$707.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $576.48 / $8,781.12 / $11,791.78	Facility		$576.48	$8,781.12	$11,791.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $576.48 / $576.48 / $576.48	Professional		$576.48	$576.48	$576.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $532.80 / $1,441.33 / $1,625.33	Professional		$532.80	$1,441.33	$1,625.33
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $568.32	Professional		$516.65	$516.65	$568.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $408.15 / $516.65 / $516.65	Professional		$408.15	$516.65	$516.65