Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.76 / $426.71 / $551.42	Professional		$276.76	$426.71	$551.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.08 / $724.53 / $925.18	Professional		$538.08	$724.53	$925.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $285.64 / $465.81 / $806.65	Professional		$285.64	$465.81	$806.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $447.31 / $733.31 / $4,110.10	Facility		$447.31	$733.31	$4,110.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.68 / $702.32 / $2,372.48	Professional		$350.68	$702.32	$2,372.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $624.44 / $742.64 / $1,597.11	Facility		$624.44	$742.64	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.47 / $702.32 / $868.14	Professional		$549.47	$702.32	$868.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $277.05 / $506.58 / $1,727.45	Professional		$277.05	$506.58	$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 $320.19 / $511.19 / $920.32	Professional		$320.19	$511.19	$920.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.25 / $619.29 / $728.60	Professional		$489.25	$619.29	$728.60