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 $389.60 / $697.32 / $697.32	Professional		$389.60	$697.32	$697.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.80 / $1,050.65 / $1,198.83	Professional		$898.80	$1,050.65	$1,198.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $391.41 / $638.38 / $1,136.43	Professional		$391.41	$638.38	$1,136.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.59 / $1,122.92 / $6,156.84	Facility		$571.59	$1,122.92	$6,156.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $531.37 / $986.08 / $3,163.76	Professional		$531.37	$986.08	$3,163.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $1,290.99 / $1,813.25	Facility		$722.00	$1,290.99	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $654.79 / $930.13 / $1,290.99	Professional		$654.79	$930.13	$1,290.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $734.80 / $1,059.00	Professional		$6.00	$734.80	$1,059.00
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 $488.96 / $943.68 / $1,326.44	Professional		$488.96	$943.68	$1,326.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $805.70 / $805.70 / $947.90	Professional		$805.70	$805.70	$947.90