Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $250.85 / $936.24	Professional		$147.38	$250.85	$936.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.60 / $432.53 / $446.08	Professional		$350.60	$432.53	$446.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $273.14 / $506.55	Professional		$152.82	$273.14	$506.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $512.16 / $20,604.33	Facility		$319.00	$512.16	$20,604.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $385.13 / $685.00	Professional		$203.60	$385.13	$685.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $499.37 / $14,099.34	Facility		$319.00	$499.37	$14,099.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $253.81 / $358.07 / $499.37	Professional		$253.81	$358.07	$499.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $297.45 / $15,286.57	Professional		$163.94	$297.45	$15,286.57
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $368.18 / $572.40	Professional		$183.75	$368.18	$572.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $259.36 / $328.30 / $386.20	Professional		$259.36	$328.30	$386.20