Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.25 / $333.94 / $489.91	Professional		$271.25	$333.94	$489.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.41 / $584.33 / $797.77	Professional		$445.41	$584.33	$797.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $410.54 / $636.55	Professional		$184.40	$410.54	$636.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.25 / $633.64 / $1,530.58	Facility		$389.25	$633.64	$1,530.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.08 / $669.14 / $2,176.48	Professional		$335.08	$669.14	$2,176.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $439.59 / $546.08 / $781.85	Facility		$439.59	$546.08	$781.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.02 / $561.67 / $797.77	Professional		$389.02	$561.67	$797.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $606.90 / $770.30	Professional		$5.00	$606.90	$770.30
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 $328.29 / $669.14 / $929.29	Professional		$328.29	$669.14	$929.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $392.80 / $462.10 / $670.40	Professional		$392.80	$462.10	$670.40