Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.03 / $3,576.15 / $6,446.00	Facility		$1,879.03	$3,576.15	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $158.84 / $334.23	Professional		$104.03	$158.84	$334.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.97 / $291.30 / $429.48	Professional		$227.97	$291.30	$429.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $181.18 / $442.48	Professional		$94.17	$181.18	$442.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.79 / $313.16 / $4,112.35	Facility		$193.79	$313.16	$4,112.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $327.14 / $1,130.96	Professional		$186.37	$327.14	$1,130.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $227.97 / $312.85 / $1,794.98	Facility		$227.97	$312.85	$1,794.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.58 / $269.42 / $405.94	Professional		$202.58	$269.42	$405.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $241.90 / $394.50	Professional		$3.00	$241.90	$394.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $286.01 / $451.97	Professional		$164.00	$286.01	$451.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $227.70 / $331.50	Professional		$193.50	$227.70	$331.50