Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.62 / $336.78 / $665.41	Professional		$218.62	$336.78	$665.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.62 / $528.32 / $603.79	Professional		$471.62	$528.32	$603.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.20 / $342.60 / $581.86	Professional		$198.20	$342.60	$581.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.22 / $597.75 / $6,237.94	Facility		$350.22	$597.75	$6,237.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $528.32 / $2,710.26	Professional		$269.20	$528.32	$2,710.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $648.85 / $1,813.25	Facility		$371.00	$648.85	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $490.48 / $651.78	Professional		$339.00	$490.48	$651.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $411.10 / $534.60	Professional		$3.00	$411.10	$534.60
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 $236.61 / $402.74 / $669.78	Professional		$236.61	$402.74	$669.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $408.50 / $408.50 / $480.60	Professional		$408.50	$408.50	$480.60