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 $179.90 / $226.16 / $406.89	Professional		$179.90	$226.16	$406.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.91 / $503.22 / $698.27	Professional		$360.91	$503.22	$698.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $326.50 / $538.53	Professional		$170.24	$326.50	$538.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.10 / $500.48 / $7,155.00	Facility		$347.10	$500.48	$7,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.14 / $476.34 / $3,162.00	Professional		$252.14	$476.34	$3,162.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $360.91 / $562.28 / $3,093.19	Facility		$360.91	$562.28	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $334.64 / $460.33 / $644.77	Professional		$334.64	$460.33	$644.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $351.40 / $657.50	Professional		$3.00	$351.40	$657.50
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 $241.64 / $432.85 / $684.00	Professional		$241.64	$432.85	$684.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $416.10 / $546.60	Professional		$353.70	$416.10	$546.60