Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,489.13 / $6,446.00	Facility		$814.00	$3,489.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $270.63 / $310.33	Professional		$204.05	$270.63	$310.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.29 / $486.76 / $607.70	Professional		$408.29	$486.76	$607.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $326.43 / $577.74	Professional		$172.09	$326.43	$577.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.33 / $521.37 / $7,407.10	Facility		$310.33	$521.37	$7,407.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $497.73 / $2,249.36	Professional		$269.77	$497.73	$2,249.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $397.13 / $554.67 / $3,170.91	Facility		$397.13	$554.67	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $357.89 / $468.70 / $589.00	Professional		$357.89	$468.70	$589.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $375.70 / $538.00	Professional		$4.00	$375.70	$538.00
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 $231.60 / $373.48 / $651.65	Professional		$231.60	$373.48	$651.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $413.30 / $486.20	Professional		$360.00	$413.30	$486.20