Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,621.81 / $2,344.23	Facility		$645.65	$1,621.81	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $851.14	Professional		$588.84	$676.08	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,041.74	Professional		$1,096.48	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,949.84	Facility		$851.14	$1,023.29	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $3,388.44	Professional		$512.86	$851.14	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,096.48	Professional		$1,023.29	$1,023.29	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $1,819.70	Professional		$851.14	$912.01	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,949.84	Facility		$851.14	$851.14	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $2,137.96	Professional		$512.86	$512.86	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14