Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.36 / $435.95 / $1,476.12	Professional		$260.36	$435.95	$1,476.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.67 / $683.00 / $1,003.76	Professional		$282.67	$683.00	$1,003.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.46 / $506.82 / $996.53	Professional		$245.46	$506.82	$996.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.15 / $683.00 / $2,146.44	Facility		$333.15	$683.00	$2,146.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.20 / $853.07 / $3,029.44	Professional		$384.20	$853.07	$3,029.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $469.75 / $640.51 / $1,003.76	Facility		$469.75	$640.51	$1,003.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $736.38 / $1,003.76	Professional		$477.00	$736.38	$1,003.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $692.00 / $1,121.30	Professional		$5.00	$692.00	$1,121.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.45 / $607.12 / $1,139.80	Professional		$379.45	$607.12	$1,139.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $529.40 / $622.90 / $912.80	Professional		$529.40	$622.90	$912.80