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 $175.33 / $220.62 / $357.22	Professional		$175.33	$220.62	$357.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.70 / $447.09 / $506.42	Professional		$374.70	$447.09	$506.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $268.02 / $535.95	Professional		$166.88	$268.02	$535.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.86 / $454.63 / $7,125.51	Facility		$231.86	$454.63	$7,125.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.12 / $407.60 / $1,349.84	Professional		$202.12	$407.60	$1,349.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $513.14 / $2,256.42	Facility		$285.00	$513.14	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $392.33 / $513.14	Professional		$261.00	$392.33	$513.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $302.70 / $466.10	Professional		$3.00	$302.70	$466.10
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 $193.69 / $363.84 / $548.29	Professional		$193.69	$363.84	$548.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $345.50 / $345.50 / $406.50	Professional		$345.50	$345.50	$406.50