Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.64 / $3,259.25 / $6,446.00	Facility		$1,256.64	$3,259.25	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $187.24 / $691.00	Professional		$79.14	$187.24	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $222.32 / $434.35	Professional		$165.22	$222.32	$434.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $209.69 / $353.75	Professional		$69.40	$209.69	$353.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.41 / $272.75 / $2,651.52	Facility		$168.41	$272.75	$2,651.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $308.72 / $1,138.48	Professional		$165.22	$308.72	$1,138.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $222.10 / $384.46	Facility		$162.47	$222.10	$384.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.80 / $230.47 / $414.36	Professional		$154.80	$230.47	$414.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $150.00 / $277.35	Professional		$74.76	$150.00	$277.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.54 / $313.30 / $440.28	Professional		$155.54	$313.30	$440.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $168.40 / $335.20	Professional		$143.10	$168.40	$335.20