Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.50 / $184.24 / $589.75	Professional		$119.50	$184.24	$589.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $321.68 / $386.72	Professional		$250.36	$321.68	$386.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $195.55 / $311.82	Professional		$102.89	$195.55	$311.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.35 / $311.37 / $1,204.00	Facility		$209.35	$311.37	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.93 / $321.47 / $1,085.92	Professional		$165.93	$321.47	$1,085.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $285.43 / $386.72	Facility		$209.00	$285.43	$386.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.91 / $280.27 / $383.58	Professional		$214.91	$280.27	$383.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $267.30 / $375.70	Professional		$3.00	$267.30	$375.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $294.72 / $432.43	Professional		$152.77	$294.72	$432.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $255.10 / $327.80	Professional		$216.90	$255.10	$327.80