Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.65 / $4,760.00 / $7,120.36	Facility		$2,421.65	$4,760.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $145.71 / $295.85	Professional		$114.98	$145.71	$295.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.27 / $307.83 / $384.84	Professional		$261.27	$307.83	$384.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $181.51 / $309.50	Professional		$107.26	$181.51	$309.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.40 / $318.27 / $8,328.70	Facility		$173.40	$318.27	$8,328.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $270.00 / $886.56	Professional		$139.02	$270.00	$886.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $358.91 / $2,571.84	Facility		$196.00	$358.91	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.43 / $261.27 / $358.91	Professional		$185.43	$261.27	$358.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $233.30 / $306.00	Professional		$5.00	$233.30	$306.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $229.83 / $363.19	Professional		$128.31	$229.83	$363.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $221.20 / $260.30	Professional		$221.20	$221.20	$260.30