Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $393.02 / $662.59	Professional		$140.34	$393.02	$662.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.08 / $563.29 / $870.09	Professional		$317.08	$563.29	$870.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $339.96 / $1,003.48	Professional		$141.50	$339.96	$1,003.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.26 / $695.72 / $3,984.48	Facility		$280.26	$695.72	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.13 / $783.03 / $2,614.80	Professional		$447.13	$783.03	$2,614.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $351.70 / $774.80 / $1,597.11	Facility		$351.70	$774.80	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $351.70 / $667.74 / $1,035.17	Professional		$351.70	$667.74	$1,035.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $254.04 / $1,727.45	Professional		$135.78	$254.04	$1,727.45
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 $447.13 / $681.34 / $1,376.53	Professional		$447.13	$681.34	$1,376.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $317.89 / $550.40	Professional		$270.20	$317.89	$550.40