Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.03 / $242.47 / $276.85	Professional		$174.03	$242.47	$276.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.82 / $437.10 / $531.74	Professional		$366.82	$437.10	$531.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $296.10 / $515.84	Professional		$154.19	$296.10	$515.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.98 / $435.20 / $5,467.65	Facility		$241.98	$435.20	$5,467.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.31 / $446.77 / $1,975.77	Professional		$237.31	$446.77	$1,975.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.69 / $366.82 / $508.91	Facility		$137.69	$366.82	$508.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $314.75 / $417.76 / $517.00	Professional		$314.75	$417.76	$517.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $348.50 / $482.70	Professional		$4.00	$348.50	$482.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $398.50 / $578.14	Professional		$204.24	$398.50	$578.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $368.40 / $433.40	Professional		$323.39	$368.40	$433.40