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 $114.72 / $200.10 / $561.00	Professional		$114.72	$200.10	$561.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $61.91 / $62.31 / $255.65	Professional	52	$61.91	$62.31	$255.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $245.42 / $388.58	Professional		$129.99	$245.42	$388.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $155.52 / $234.06	Professional		$84.22	$155.52	$234.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.61 / $225.34 / $1,341.00	Facility		$124.61	$225.34	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $217.61 / $624.79	Professional		$135.80	$217.61	$624.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $185.58 / $248.19 / $348.79	Facility		$185.58	$248.19	$348.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $227.82 / $348.79	Professional		$163.09	$227.82	$348.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $137.75 / $239.35	Professional		$77.17	$137.75	$239.35
United Facility/Professional Facility Modifier Low / Median / High Price $260.89 / $597.22 / $1,966.00	Facility		$260.89	$597.22	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $185.18 / $319.35	Professional		$129.62	$185.18	$319.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $177.90 / $278.30	Professional		$151.19	$177.90	$278.30