Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,666.00 / $2,912.34 / $6,446.00	Facility		$1,666.00	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $338.12 / $961.00	Professional		$157.66	$338.12	$961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.87 / $471.36 / $575.08	Professional		$238.87	$471.36	$575.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $289.33 / $496.31	Professional		$151.50	$289.33	$496.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.70 / $427.61 / $4,869.67	Facility		$246.70	$427.61	$4,869.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.76 / $413.54 / $1,223.35	Professional		$242.76	$413.54	$1,223.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $366.08 / $551.89 / $1,331.66	Facility		$366.08	$551.89	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $307.89 / $416.10 / $606.54	Professional		$307.89	$416.10	$606.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $299.08 / $1,459.54	Professional		$163.66	$299.08	$1,459.54
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 $229.36 / $312.77 / $543.29	Professional		$229.36	$312.77	$543.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $350.80 / $472.20	Professional		$298.20	$350.80	$472.20