Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.00 / $3,419.00 / $6,446.00	Facility		$1,099.00	$3,419.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $214.41 / $800.98	Professional		$130.12	$214.41	$800.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.13 / $452.66 / $565.82	Professional		$271.13	$452.66	$565.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $274.35 / $573.89	Professional		$110.18	$274.35	$573.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.91 / $449.37 / $1,204.00	Facility		$243.91	$449.37	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $428.67 / $1,793.11	Professional		$262.73	$428.67	$1,793.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.67 / $295.12 / $526.59	Facility		$200.67	$295.12	$526.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $363.96 / $530.80	Professional		$262.73	$363.96	$530.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $396.50 / $525.10	Professional		$6.00	$396.50	$525.10
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 $216.60 / $371.83 / $587.58	Professional		$216.60	$371.83	$587.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $261.70 / $427.00	Professional		$222.50	$261.70	$427.00