Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,389.44 / $3,666.78 / $7,119.04	Facility		$2,389.44	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.49 / $261.88 / $476.96	Professional		$140.49	$261.88	$476.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $436.30 / $881.53	Professional		$294.45	$436.30	$881.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.24 / $407.19 / $567.05	Professional		$134.24	$407.19	$567.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $292.62 / $572.35 / $1,530.58	Facility		$292.62	$572.35	$1,530.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $635.00 / $2,383.12	Professional		$294.45	$635.00	$2,383.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.35 / $470.93 / $788.88	Facility		$315.35	$470.93	$788.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $437.63 / $788.88	Professional		$294.14	$437.63	$788.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $535.40 / $903.40	Professional		$5.00	$535.40	$903.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $564.96 / $892.77	Professional		$296.02	$564.96	$892.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $279.80 / $329.10 / $681.50	Professional		$279.80	$329.10	$681.50