Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,585.87 / $7,119.04	Facility		$2,218.00	$3,585.87	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.38 / $288.94 / $791.19	Professional		$158.38	$288.94	$791.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $646.00 / $646.00	Facility		$646.00	$646.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $451.37 / $766.96	Professional		$218.88	$451.37	$766.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $401.41 / $589.17	Professional		$164.19	$401.41	$589.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.57 / $483.16 / $3,484.54	Facility		$276.57	$483.16	$3,484.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $611.05 / $2,315.04	Professional		$314.27	$611.05	$2,315.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $396.60 / $642.99 / $2,532.54	Facility		$396.60	$642.99	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.30 / $475.99 / $766.96	Professional		$353.30	$475.99	$766.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.38 / $339.32 / $2,774.96	Professional		$177.38	$339.32	$2,774.96
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 $290.56 / $517.47 / $870.75	Professional		$290.56	$517.47	$870.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $339.50 / $415.40 / $706.70	Professional		$339.50	$415.40	$706.70