Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,281.75 / $6,446.00	Facility		$2,906.00	$4,281.75	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $249.63 / $609.07	Professional		$152.33	$249.63	$609.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.08 / $478.04 / $713.85	Professional		$350.08	$478.04	$713.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $351.54 / $628.49	Professional		$147.37	$351.54	$628.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.53 / $560.47 / $4,699.47	Facility		$345.53	$560.47	$4,699.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.39 / $555.24 / $1,860.56	Professional		$313.39	$555.24	$1,860.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $365.58 / $569.62 / $1,476.40	Facility		$365.58	$569.62	$1,476.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.32 / $464.98 / $676.15	Professional		$328.32	$464.98	$676.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $473.90 / $659.40	Professional		$6.00	$473.90	$659.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $378.27 / $769.62	Professional		$282.39	$378.27	$769.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $348.70 / $543.00	Professional		$296.39	$348.70	$543.00