Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.56 / $755.56 / $799.84	Facility		$755.56	$755.56	$799.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.81 / $583.45 / $976.51	Professional		$436.81	$583.45	$976.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $1,190.30	Facility		$607.01	$607.01	$1,190.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.01 / $1,260.75 / $1,575.94	Professional		$607.01	$1,260.75	$1,575.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,082.08 / $1,101.00	Professional		$1,016.00	$1,082.08	$1,101.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.18 / $1,284.45 / $5,063.85	Facility		$336.18	$1,284.45	$5,063.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $474.53 / $546.98 / $1,478.45	Professional		$474.53	$546.98	$1,478.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,186.82 / $1,190.30 / $1,475.76	Facility		$1,186.82	$1,190.30	$1,475.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $974.86 / $1,390.43 / $2,274.63	Professional		$974.86	$1,390.43	$2,274.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.41 / $1,164.61 / $1,970.16	Professional		$1,087.41	$1,164.61	$1,970.16
United Facility/Professional Professional Modifier Low / Median / High Price $448.09 / $539.84 / $1,273.23	Professional		$448.09	$539.84	$1,273.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,027.99 / $1,027.99 / $1,027.99	Facility		$1,027.99	$1,027.99	$1,027.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.11 / $1,027.99 / $1,027.99	Professional		$812.11	$1,027.99	$1,027.99