Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.98 / $2,912.34 / $6,446.00	Facility		$1,114.98	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.21 / $210.31 / $500.54	Professional		$177.21	$210.31	$500.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.27 / $381.59 / $596.99	Professional		$201.27	$381.59	$596.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $248.89 / $441.56	Professional		$136.91	$248.89	$441.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.99 / $355.43 / $1,204.00	Facility		$206.99	$355.43	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $360.65 / $1,019.60	Professional		$213.25	$360.65	$1,019.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.95 / $327.73 / $510.71	Facility		$171.95	$327.73	$510.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $372.21 / $549.05	Professional		$265.58	$372.21	$549.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $219.95 / $358.20	Professional		$124.46	$219.95	$358.20
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 $210.21 / $290.79 / $505.12	Professional		$210.21	$290.79	$505.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $244.30 / $287.39 / $431.10	Professional		$244.30	$287.39	$431.10