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 $285.74 / $352.37 / $551.95	Professional		$285.74	$352.37	$551.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $748.83 / $909.60	Professional		$546.00	$748.83	$909.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $468.75 / $888.57	Professional		$298.95	$468.75	$888.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.56 / $690.33 / $876.73	Facility		$351.56	$690.33	$876.73
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,021.52 / $1,021.52 / $1,021.52	Facility	54	$1,021.52	$1,021.52	$1,021.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.16 / $690.33 / $2,332.71	Professional		$332.16	$690.33	$2,332.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $690.33 / $902.88	Facility		$207.58	$690.33	$902.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $715.04 / $902.88	Professional		$503.00	$715.04	$902.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $508.21 / $631.57	Professional		$269.32	$508.21	$631.57
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 $313.79 / $558.85 / $946.43	Professional		$313.79	$558.85	$946.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $504.42 / $638.50 / $751.20	Professional		$504.42	$638.50	$751.20