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 $227.18 / $336.36 / $527.49	Professional		$227.18	$336.36	$527.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.25 / $596.79 / $796.63	Professional		$448.25	$596.79	$796.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $378.80 / $622.12	Professional		$184.15	$378.80	$622.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $410.69 / $676.53 / $4,510.68	Facility		$410.69	$676.53	$4,510.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $355.70 / $649.58 / $2,017.92	Professional		$355.70	$649.58	$2,017.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $669.07 / $1,300.32	Facility		$462.00	$669.07	$1,300.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $406.41 / $539.79 / $740.40	Professional		$406.41	$539.79	$740.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $599.00 / $721.80	Professional		$5.00	$599.00	$721.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $556.40 / $873.79	Professional		$308.68	$556.40	$873.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $462.80 / $619.10	Professional		$393.40	$462.80	$619.10