Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $4,235.59 / $7,119.04	Facility		$2,833.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.99 / $366.97 / $646.53	Professional		$279.99	$366.97	$646.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.01 / $759.08 / $991.40	Professional		$559.01	$759.08	$991.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $471.74 / $845.04	Professional		$282.82	$471.74	$845.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.60 / $684.86 / $901.97	Facility		$347.60	$684.86	$901.97
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $997.15 / $997.15 / $997.15	Facility	54	$997.15	$997.15	$997.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.38 / $675.11 / $2,299.53	Professional		$340.38	$675.11	$2,299.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $684.86 / $925.11	Facility		$207.58	$684.86	$925.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $730.32 / $919.64	Professional		$534.00	$730.32	$919.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $495.48 / $652.40	Professional		$269.32	$495.48	$652.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.81 / $489.30 / $907.03	Professional		$305.81	$489.30	$907.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $528.75 / $669.30 / $787.50	Professional		$528.75	$669.30	$787.50