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 $139.12 / $197.51 / $314.41	Professional		$139.12	$197.51	$314.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.84 / $374.94 / $601.85	Professional		$202.84	$374.94	$601.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $250.43 / $438.46	Professional		$131.40	$250.43	$438.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.51 / $353.28 / $1,314.20	Facility		$197.51	$353.28	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.98 / $344.45 / $976.88	Professional		$213.98	$344.45	$976.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.88 / $312.56 / $513.59	Facility		$209.88	$312.56	$513.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $254.50 / $368.49 / $545.20	Professional		$254.50	$368.49	$545.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $229.82 / $376.56	Professional		$119.45	$229.82	$376.56
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 $213.98 / $291.80 / $506.87	Professional		$213.98	$291.80	$506.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $276.20 / $434.50	Professional		$234.80	$276.20	$434.50