Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.43 / $477.07 / $1,654.00	Professional		$316.43	$477.07	$1,654.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.32 / $847.15 / $1,101.45	Professional		$450.32	$847.15	$1,101.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $521.86 / $924.38	Professional		$293.64	$521.86	$924.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.26 / $835.88 / $7,123.00	Facility		$436.26	$835.88	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $442.24 / $759.95 / $2,360.48	Professional		$442.24	$759.95	$2,360.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $702.32 / $965.60 / $2,256.42	Facility		$702.32	$965.60	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $783.42 / $1,043.66	Professional		$585.00	$783.42	$1,043.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.81 / $568.72 / $2,471.88	Professional		$308.81	$568.72	$2,471.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,988.00 / $8,342.00	Facility		$3,711.00	$5,988.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.40 / $553.37 / $984.12	Professional		$404.40	$553.37	$984.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $545.17 / $673.10 / $811.90	Professional		$545.17	$673.10	$811.90