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 $135.97 / $211.93 / $768.00	Professional		$135.97	$211.93	$768.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $385.74 / $503.49	Professional		$196.11	$385.74	$503.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.81 / $234.68 / $383.21	Professional		$134.81	$234.68	$383.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.86 / $360.96 / $1,341.00	Facility		$198.86	$360.96	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $322.32 / $1,046.64	Professional		$186.44	$322.32	$1,046.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $289.44 / $375.18 / $501.57	Facility		$289.44	$375.18	$501.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $345.91 / $477.42	Professional		$235.00	$345.91	$477.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $259.22 / $441.58	Professional		$140.81	$259.22	$441.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $241.74 / $420.66	Professional		$179.19	$241.74	$420.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.22 / $296.39 / $369.70	Professional		$248.22	$296.39	$369.70