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 $390.43 / $481.53 / $714.93	Professional		$390.43	$481.53	$714.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $1,050.23 / $1,312.78	Professional		$728.00	$1,050.23	$1,312.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $419.10 / $642.73 / $1,428.78	Professional		$419.10	$642.73	$1,428.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.27 / $1,100.99 / $2,962.51	Facility		$475.27	$1,100.99	$2,962.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.18 / $855.98 / $2,901.54	Professional		$455.18	$855.98	$2,901.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $719.53 / $1,185.85 / $1,597.29	Facility		$719.53	$1,185.85	$1,597.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $655.84 / $997.60 / $1,304.80	Professional		$655.84	$997.60	$1,304.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.70 / $819.92 / $1,729.73	Professional		$443.70	$819.92	$1,729.73
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 $438.01 / $667.44 / $1,188.88	Professional		$438.01	$667.44	$1,188.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $710.29 / $899.10 / $1,057.80	Professional		$710.29	$899.10	$1,057.80