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 $92.16 / $144.78 / $529.66	Professional		$92.16	$144.78	$529.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $247.74 / $410.98	Professional		$138.07	$247.74	$410.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $169.68 / $291.95	Professional		$87.76	$169.68	$291.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.83 / $241.26 / $1,341.00	Facility		$130.83	$241.26	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $229.39 / $651.04	Professional		$144.27	$229.39	$651.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.87 / $260.72 / $377.11	Facility		$192.87	$260.72	$377.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.70 / $247.74 / $369.41	Professional		$169.70	$247.74	$369.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $144.22 / $256.79	Professional		$79.78	$144.22	$256.79
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 $144.27 / $209.35 / $343.17	Professional		$144.27	$209.35	$343.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $184.80 / $295.70	Professional		$157.10	$184.80	$295.70