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 $44.81 / $72.79 / $114.26	Professional		$44.81	$72.79	$114.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $135.15 / $219.12	Professional		$92.71	$135.15	$219.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $105.30 / $204.56	Professional		$38.09	$105.30	$204.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $160.07 / $1,204.00	Facility		$93.09	$160.07	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $161.99 / $1,375.00	Professional		$91.13	$161.99	$1,375.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $108.60 / $187.80	Facility		$78.98	$108.60	$187.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $126.39 / $202.05	Professional		$86.23	$126.39	$202.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $140.40 / $198.20	Professional		$3.00	$140.40	$198.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $161.99 / $221.57	Professional		$80.33	$161.99	$221.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $93.60 / $171.40	Professional		$79.59	$93.60	$171.40