Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,731.57 / $6,972.28	Facility		$2,906.00	$4,731.57	$6,972.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.84 / $304.95 / $485.62	Professional		$227.84	$304.95	$485.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.60 / $515.04 / $580.42	Professional		$455.60	$515.04	$580.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.72 / $334.89 / $578.77	Professional		$193.72	$334.89	$578.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.39 / $553.66 / $5,582.51	Facility		$317.39	$553.66	$5,582.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $493.12 / $1,955.80	Professional		$268.37	$493.12	$1,955.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $638.20 / $1,813.25	Facility		$366.00	$638.20	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $327.99 / $455.60 / $638.20	Professional		$327.99	$455.60	$638.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $362.20 / $516.40	Professional		$3.00	$362.20	$516.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $5,023.00 / $7,305.00	Facility		$2,679.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $432.48 / $663.33	Professional		$234.34	$432.48	$663.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $401.70 / $401.70 / $472.60	Professional		$401.70	$401.70	$472.60