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 $117.95 / $189.33 / $348.72	Professional		$117.95	$189.33	$348.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $328.51 / $543.69	Professional		$160.16	$328.51	$543.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.87 / $267.25 / $461.43	Professional		$122.87	$267.25	$461.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $329.05 / $897.18	Facility		$192.80	$329.05	$897.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.66 / $430.02 / $1,540.72	Professional		$214.66	$430.02	$1,540.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $271.49 / $385.22 / $552.91	Facility		$271.49	$385.22	$552.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $339.88 / $552.46	Professional		$256.00	$339.88	$552.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $329.10 / $540.50	Professional		$5.00	$329.10	$540.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,607.00 / $1,966.00	Facility		$1,026.00	$1,607.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.45 / $327.16 / $618.21	Professional		$207.45	$327.16	$618.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $299.89 / $465.10	Professional		$245.10	$299.89	$465.10