Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $300.68 / $786.00	Professional		$184.74	$300.68	$786.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.77 / $352.54 / $572.64	Professional		$192.77	$352.54	$572.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $232.10 / $400.29	Professional		$122.35	$232.10	$400.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.28 / $320.02 / $4,033.83	Facility		$185.28	$320.02	$4,033.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $326.04 / $918.24	Professional		$204.92	$326.04	$918.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $211.96 / $291.60 / $488.96	Facility		$211.96	$291.60	$488.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $238.71 / $338.60 / $516.20	Professional		$238.71	$338.60	$516.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $215.93 / $347.70	Professional		$117.75	$215.93	$347.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.11 / $279.44 / $485.40	Professional		$203.11	$279.44	$485.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $259.50 / $413.60	Professional		$220.50	$259.50	$413.60