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 $128.08 / $230.63 / $714.47	Professional		$128.08	$230.63	$714.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.19 / $368.70 / $634.76	Professional		$166.19	$368.70	$634.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $317.13 / $490.62	Professional		$127.06	$317.13	$490.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $368.70 / $972.72	Facility		$226.01	$368.70	$972.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.80 / $512.12 / $1,789.52	Professional		$255.80	$512.12	$1,789.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $274.45 / $356.33 / $634.76	Facility		$274.45	$356.33	$634.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $399.83 / $634.76	Professional		$293.87	$399.83	$634.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $261.82 / $501.62	Professional		$136.16	$261.82	$501.62
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 $232.11 / $366.50 / $693.93	Professional		$232.11	$366.50	$693.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $329.80 / $551.10	Professional		$269.50	$329.80	$551.10