Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $278.55 / $1,392.00	Professional		$96.27	$278.55	$1,392.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.76 / $362.80 / $1,821.91	Professional		$128.76	$362.80	$1,821.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $819.66 / $1,031.14	Professional		$112.60	$819.66	$1,031.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $815.88 / $3,044.00	Facility		$161.38	$815.88	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.02 / $1,240.85 / $4,913.76	Professional		$614.02	$1,240.85	$4,913.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $247.29 / $1,019.07 / $1,651.05	Facility		$247.29	$1,019.07	$1,651.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $961.18 / $1,821.91	Professional		$236.30	$961.18	$1,821.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $653.61 / $1,304.33	Professional		$98.46	$653.61	$1,304.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.16 / $3,044.00 / $7,305.00	Facility		$1,548.16	$3,044.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.26 / $935.65 / $1,785.67	Professional		$643.26	$935.65	$1,785.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $235.60 / $1,452.60	Professional		$192.50	$235.60	$1,452.60