Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.69 / $939.71 / $939.71	Facility		$780.69	$939.71	$939.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.26 / $655.13 / $987.85	Professional		$458.26	$655.13	$987.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.23 / $769.23 / $1,147.16	Facility		$769.23	$769.23	$1,147.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.23 / $1,567.88 / $1,959.84	Professional		$769.23	$1,567.88	$1,959.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $992.62 / $1,200.04 / $1,352.44	Professional		$992.62	$1,200.04	$1,352.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $655.13 / $1,340.04 / $5,627.79	Facility		$655.13	$1,340.04	$5,627.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.56 / $592.29 / $1,424.87	Professional		$498.56	$592.29	$1,424.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,143.80 / $1,147.16 / $1,584.28	Facility		$1,143.80	$1,147.16	$1,584.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $939.53 / $1,355.73 / $2,192.17	Professional		$939.53	$1,355.73	$2,192.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.73 / $1,379.49 / $2,414.11	Professional		$1,063.73	$1,379.49	$2,414.11
United Facility/Professional Professional Modifier Low / Median / High Price $509.42 / $520.28 / $1,367.90	Professional		$509.42	$520.28	$1,367.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,022.01 / $1,022.01 / $1,022.01	Facility		$1,022.01	$1,022.01	$1,022.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $807.39 / $1,022.01 / $1,022.01	Professional		$807.39	$1,022.01	$1,022.01