Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,277.00 / $6,446.00	Facility		$2,906.00	$4,277.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $342.28 / $1,446.00	Professional		$229.80	$342.28	$1,446.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.92 / $609.41 / $904.73	Professional		$324.92	$609.41	$904.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $397.10 / $739.71	Professional		$208.77	$397.10	$739.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.28 / $570.15 / $4,033.83	Facility		$342.28	$570.15	$4,033.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.67 / $574.77 / $1,684.64	Professional		$359.67	$574.77	$1,684.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $291.12 / $527.16 / $777.61	Facility		$291.12	$527.16	$777.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $437.63 / $593.27 / $850.60	Professional		$437.63	$593.27	$850.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $377.72 / $580.21	Professional		$213.11	$377.72	$580.21
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 $330.41 / $450.56 / $810.92	Professional		$330.41	$450.56	$810.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $406.70 / $478.50 / $661.90	Professional		$406.70	$478.50	$661.90