Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.06 / $332.17 / $523.28	Professional		$211.06	$332.17	$523.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.83 / $650.23 / $898.72	Professional		$490.83	$650.23	$898.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.40 / $456.36 / $784.09	Professional		$206.40	$456.36	$784.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.45 / $750.96 / $8,073.49	Facility		$443.45	$750.96	$8,073.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.81 / $697.95 / $2,400.96	Professional		$392.81	$697.95	$2,400.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $496.98 / $756.04 / $2,865.45	Facility		$496.98	$756.04	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $444.28 / $602.89 / $898.72	Professional		$444.28	$602.89	$898.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $435.19 / $3,086.18	Professional		$236.41	$435.19	$3,086.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.77 / $654.59 / $1,018.39	Professional		$359.77	$654.59	$1,018.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $402.60 / $473.60 / $668.90	Professional		$402.60	$473.60	$668.90