Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.19 / $3,585.87 / $6,749.49	Facility		$338.19	$3,585.87	$6,749.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $198.03 / $551.33	Professional		$117.09	$198.03	$551.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $334.97 / $488.89	Professional		$168.84	$334.97	$488.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $206.12 / $361.09	Professional		$108.66	$206.12	$361.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $293.60 / $4,663.00	Facility		$169.96	$293.60	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $306.61 / $884.88	Professional		$176.24	$306.61	$884.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.85 / $273.11 / $419.47	Facility		$171.85	$273.11	$419.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $314.58 / $449.00	Professional		$217.00	$314.58	$449.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $213.07 / $310.41	Professional		$118.11	$213.07	$310.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $240.33 / $417.47	Professional		$171.25	$240.33	$417.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $251.10 / $355.00	Professional		$213.40	$251.10	$355.00