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 $107.65 / $189.78 / $518.42	Professional		$107.65	$189.78	$518.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.53 / $321.38 / $524.70	Professional		$244.53	$321.38	$524.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $243.85 / $422.92	Professional		$100.28	$243.85	$422.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.59 / $306.54 / $1,151.00	Facility		$211.59	$306.54	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.56 / $403.92 / $1,382.56	Professional		$204.56	$403.92	$1,382.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.81 / $274.42 / $484.74	Facility		$204.81	$274.42	$484.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $305.68 / $504.42	Professional		$217.98	$305.68	$504.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $353.40 / $498.00	Professional		$5.00	$353.40	$498.00
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 $196.04 / $401.32 / $554.92	Professional		$196.04	$401.32	$554.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $243.60 / $402.40	Professional		$207.10	$243.60	$402.40