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 $120.17 / $135.15 / $207.03	Professional		$120.17	$135.15	$207.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $320.89 / $470.78	Professional		$159.19	$320.89	$470.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $202.37 / $414.66	Professional		$119.70	$202.37	$414.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.35 / $320.89 / $1,300.00	Facility		$200.35	$320.89	$1,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.26 / $296.83 / $1,870.00	Professional		$157.26	$296.83	$1,870.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $314.97 / $398.37	Facility		$235.00	$314.97	$398.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $279.47 / $398.37	Professional		$214.00	$279.47	$398.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $162.40 / $377.80	Professional		$5.00	$162.40	$377.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $213.79 / $426.61	Professional		$144.16	$213.79	$426.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $242.10 / $284.80	Professional		$191.26	$242.10	$284.80