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 $81.96 / $344.08 / $772.51	Professional		$81.96	$344.08	$772.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.44 / $378.06 / $713.73	Professional		$192.44	$378.06	$713.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $274.33 / $472.35	Professional		$81.53	$274.33	$472.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.58 / $555.53 / $2,033.70	Facility		$199.58	$555.53	$2,033.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $574.80 / $2,433.13	Professional		$232.99	$574.80	$2,433.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.15 / $500.00 / $635.45	Facility		$210.15	$500.00	$635.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $378.06 / $631.72	Professional		$189.95	$378.06	$631.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $648.10 / $1,284.70	Professional		$4.00	$648.10	$1,284.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.02 / $470.21 / $949.07	Professional		$245.02	$470.21	$949.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $189.20 / $498.10	Professional		$160.80	$189.20	$498.10