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 $252.58 / $396.35 / $495.61	Professional		$252.58	$396.35	$495.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.29 / $681.03 / $930.05	Professional		$422.29	$681.03	$930.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $253.51 / $393.99 / $843.76	Professional		$253.51	$393.99	$843.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.47 / $667.98 / $5,732.00	Facility		$331.47	$667.98	$5,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.63 / $604.76 / $2,064.56	Professional		$297.63	$604.76	$2,064.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $450.64 / $683.98 / $2,932.27	Facility		$450.64	$683.98	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $422.29 / $656.09 / $828.75	Professional		$422.29	$656.09	$828.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $513.08 / $3,254.15	Professional		$281.20	$513.08	$3,254.15
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 $270.73 / $453.54 / $836.21	Professional		$270.73	$453.54	$836.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $494.30 / $625.70 / $736.10	Professional		$494.30	$625.70	$736.10