Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,253.00 / $5,549.00	Facility		$603.00	$2,253.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $273.27 / $534.20	Professional		$83.60	$273.27	$534.20
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 $114.30 / $288.32 / $806.16	Professional		$114.30	$288.32	$806.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $366.62 / $666.44	Professional		$85.07	$366.62	$666.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.91 / $509.31 / $2,559.00	Facility		$150.91	$509.31	$2,559.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $650.45 / $2,242.03	Professional		$270.64	$650.45	$2,242.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.88 / $639.74 / $1,311.70	Facility		$210.88	$639.74	$1,311.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $513.54 / $816.67	Professional		$188.51	$513.54	$816.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $295.16 / $1,421.20	Professional		$83.53	$295.16	$1,421.20
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 $307.61 / $468.74 / $953.67	Professional		$307.61	$468.74	$953.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.20 / $203.40 / $663.60	Professional		$166.20	$203.40	$663.60