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 $266.14 / $334.26 / $480.80	Professional		$266.14	$334.26	$480.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.77 / $597.65 / $893.54	Professional		$441.77	$597.65	$893.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.61 / $400.82 / $773.76	Professional		$183.61	$400.82	$773.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.79 / $629.54 / $1,398.60	Facility		$356.79	$629.54	$1,398.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.00 / $684.64 / $2,126.96	Professional		$356.00	$684.64	$2,126.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $297.14 / $506.00 / $762.12	Facility		$297.14	$506.00	$762.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $439.99 / $597.65 / $781.38	Professional		$439.99	$597.65	$781.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $754.40 / $928.00	Professional		$5.00	$754.40	$928.00
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 $325.35 / $663.56 / $920.96	Professional		$325.35	$663.56	$920.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.50 / $458.30 / $653.10	Professional		$389.50	$458.30	$653.10