Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.94 / $314.33 / $548.47	Professional		$259.94	$314.33	$548.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.52 / $626.40 / $830.11	Professional		$341.52	$626.40	$830.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $481.44 / $1,020.16	Professional		$259.20	$481.44	$1,020.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.96 / $694.39 / $4,871.77	Facility		$411.96	$694.39	$4,871.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.55 / $639.08 / $2,230.64	Professional		$331.55	$639.08	$2,230.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $747.01 / $1,622.05	Facility		$497.00	$747.01	$1,622.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.57 / $610.63 / $866.61	Professional		$446.57	$610.63	$866.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.42 / $487.93 / $1,772.25	Professional		$253.42	$487.93	$1,772.25
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 $303.92 / $459.66 / $899.41	Professional		$303.92	$459.66	$899.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $425.34 / $538.40 / $633.40	Professional		$425.34	$538.40	$633.40