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 $112.37 / $180.71 / $279.89	Professional		$112.37	$180.71	$279.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $84.28 / $139.57 / $146.01	Professional	54	$84.28	$139.57	$146.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $292.94 / $366.18	Professional		$203.00	$292.94	$366.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $175.62 / $316.89	Professional		$112.63	$175.62	$316.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.43 / $283.58 / $616.05	Facility		$156.43	$283.58	$616.05
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $402.69 / $402.69 / $402.69	Facility	54	$402.69	$402.69	$402.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $256.61 / $928.72	Professional		$126.78	$256.61	$928.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $275.89 / $360.85	Facility		$132.36	$275.89	$360.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $276.57 / $360.85	Professional		$189.00	$276.57	$360.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $181.85 / $235.76	Professional		$120.44	$181.85	$235.76
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 $121.01 / $184.40 / $343.45	Professional		$121.01	$184.40	$343.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $243.90 / $286.89	Professional		$192.68	$243.90	$286.89