Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $238.15 / $866.87	Professional		$150.82	$238.15	$866.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $410.00 / $607.70	Professional		$168.89	$410.00	$607.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $294.41 / $608.76	Professional		$154.54	$294.41	$608.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.03 / $400.24 / $5,244.00	Facility		$232.03	$400.24	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.23 / $490.55 / $1,672.72	Professional		$236.23	$490.55	$1,672.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $356.63 / $499.45 / $5,269.25	Facility		$356.63	$499.45	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $289.55 / $417.55 / $607.70	Professional		$289.55	$417.55	$607.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $397.10 / $603.29	Professional		$5.00	$397.10	$603.29
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 $223.45 / $324.89 / $649.79	Professional		$223.45	$324.89	$649.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $314.50 / $370.00 / $508.90	Professional		$314.50	$370.00	$508.90