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 $100.85 / $153.84 / $582.61	Professional		$100.85	$153.84	$582.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $276.58 / $436.30	Professional		$147.07	$276.58	$436.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $181.57 / $316.72	Professional		$96.50	$181.57	$316.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $254.61 / $1,204.00	Facility		$144.27	$254.61	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $250.46 / $715.68	Professional		$154.52	$250.46	$715.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.72 / $226.83 / $371.55	Facility		$155.72	$226.83	$371.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.30 / $257.68 / $394.02	Professional		$187.30	$257.68	$394.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $169.25 / $273.58	Professional		$87.73	$169.25	$273.58
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 $149.88 / $210.71 / $365.89	Professional		$149.88	$210.71	$365.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.10 / $203.70 / $315.30	Professional		$173.10	$203.70	$315.30