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 $51.65 / $57.14 / $179.78	Professional		$51.65	$57.14	$179.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $122.94 / $162.91	Professional		$105.53	$122.94	$162.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $70.02 / $224.77	Professional		$43.99	$70.02	$224.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.97 / $127.31 / $8,342.00	Facility		$60.97	$127.31	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $108.61 / $550.76	Professional		$57.45	$108.61	$550.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $141.28 / $3,093.19	Facility		$82.00	$141.28	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $105.53 / $143.91	Professional		$72.81	$105.53	$143.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $95.60 / $118.80	Professional		$3.00	$95.60	$118.80
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 $51.61 / $103.33 / $146.10	Professional		$51.61	$103.33	$146.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $91.40 / $107.50	Professional		$91.40	$91.40	$107.50