Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.59 / $900.59 / $953.37	Facility		$900.59	$900.59	$953.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.64 / $695.43 / $1,163.92	Professional		$520.64	$695.43	$1,163.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $1,418.78	Facility		$723.52	$723.52	$1,418.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.52 / $1,502.63 / $1,878.28	Professional		$723.52	$1,502.63	$1,878.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.33 / $1,528.50 / $1,651.50	Professional		$1,231.33	$1,528.50	$1,651.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $848.06 / $1,485.25 / $6,035.75	Facility		$848.06	$1,485.25	$6,035.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.66 / $664.92 / $1,762.25	Professional		$577.66	$664.92	$1,762.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,418.78 / $1,418.78 / $1,758.99	Facility		$1,418.78	$1,418.78	$1,758.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,665.89 / $2,711.26	Professional		$1,162.00	$1,665.89	$2,711.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,296.14 / $1,388.17 / $2,348.35	Professional		$1,296.14	$1,388.17	$2,348.35
United Facility/Professional Professional Modifier Low / Median / High Price $572.50 / $643.47 / $1,684.98	Professional		$572.50	$643.47	$1,684.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,225.31 / $1,225.31 / $1,225.31	Facility		$1,225.31	$1,225.31	$1,225.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $967.99 / $1,225.31 / $1,225.31	Professional		$967.99	$1,225.31	$1,225.31