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 $138.50 / $222.73 / $489.02	Professional		$138.50	$222.73	$489.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $346.38 / $428.00	Professional		$305.69	$346.38	$428.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $220.44 / $642.73	Professional		$134.13	$220.44	$642.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.71 / $423.95 / $6,608.00	Facility		$228.71	$423.95	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $333.32 / $1,687.48	Professional		$162.13	$333.32	$1,687.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $305.69 / $428.00 / $2,256.42	Facility		$305.69	$428.00	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $235.95 / $347.46 / $469.95	Professional		$235.95	$347.46	$469.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $242.37 / $2,476.73	Professional		$134.21	$242.37	$2,476.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.04 / $296.08 / $458.96	Professional		$148.04	$296.08	$458.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $212.91 / $269.50 / $317.10	Professional		$212.91	$269.50	$317.10