Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.41 / $2,991.00 / $6,446.00	Facility		$230.41	$2,991.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $172.57 / $388.49	Professional		$69.65	$172.57	$388.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $201.59 / $572.88	Professional		$95.09	$201.59	$572.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $267.72 / $405.84	Professional		$66.98	$267.72	$405.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.88 / $298.36 / $1,735.52	Facility		$125.88	$298.36	$1,735.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.98 / $406.04 / $879.94	Professional		$193.98	$406.04	$879.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.77 / $453.45 / $906.10	Facility		$161.77	$453.45	$906.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $315.55 / $572.88	Professional		$140.71	$315.55	$572.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $224.30 / $985.79	Professional		$73.06	$224.30	$985.79
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 $210.04 / $306.45 / $623.49	Professional		$210.04	$306.45	$623.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $171.20 / $467.30	Professional		$139.90	$171.20	$467.30