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 $266.30 / $339.79 / $530.72	Professional		$266.30	$339.79	$530.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $775.14 / $980.69	Professional		$560.00	$775.14	$980.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $469.96 / $821.99	Professional		$295.20	$469.96	$821.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $348.61 / $685.14 / $895.08	Facility		$348.61	$685.14	$895.08
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,009.86 / $1,009.86 / $1,009.86	Facility	54	$1,009.86	$1,009.86	$1,009.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $341.70 / $669.84 / $2,306.23	Professional		$341.70	$669.84	$2,306.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $683.44 / $900.75	Facility		$207.58	$683.44	$900.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $729.61 / $900.75	Professional		$534.00	$729.61	$900.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $501.85 / $641.55	Professional		$269.32	$501.85	$641.55
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 $318.20 / $484.88 / $903.09	Professional		$318.20	$484.88	$903.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $523.22 / $662.30 / $779.20	Professional		$523.22	$662.30	$779.20