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 $334.97 / $480.26 / $962.92	Professional		$334.97	$480.26	$962.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.09 / $825.85 / $1,085.86	Professional		$628.09	$825.85	$1,085.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $521.28 / $806.49	Professional		$259.27	$521.28	$806.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $534.95 / $872.47 / $7,273.98	Facility		$534.95	$872.47	$7,273.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $842.35 / $2,769.12	Professional		$450.00	$842.35	$2,769.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $628.09 / $882.23 / $2,571.84	Facility		$628.09	$882.23	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $763.83 / $1,008.83	Professional		$539.00	$763.83	$1,008.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $738.10 / $992.90	Professional		$5.00	$738.10	$992.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.53 / $830.19 / $1,176.24	Professional		$415.53	$830.19	$1,176.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $553.79 / $651.60 / $848.60	Professional		$553.79	$651.60	$848.60