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 $223.44 / $266.13 / $409.25	Professional		$223.44	$266.13	$409.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $485.54 / $691.45	Professional		$250.52	$485.54	$691.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $245.38 / $631.00	Professional		$142.63	$245.38	$631.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.01 / $488.99 / $6,837.54	Facility		$287.01	$488.99	$6,837.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $484.46 / $1,800.24	Professional		$274.45	$484.46	$1,800.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $397.00 / $596.79 / $2,571.84	Facility		$397.00	$596.79	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $478.99 / $683.73	Professional		$341.00	$478.99	$683.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $317.60 / $549.70	Professional		$5.00	$317.60	$549.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $5,854.53 / $8,342.00	Facility		$2,950.00	$5,854.53	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.58 / $397.93 / $744.52	Professional		$251.58	$397.93	$744.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $349.10 / $410.70	Professional		$275.79	$349.10	$410.70