Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.90 / $3,259.25 / $7,119.04	Facility		$1,866.90	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $132.68 / $470.00	Professional		$94.51	$132.68	$470.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.01 / $306.83 / $421.55	Professional		$213.01	$306.83	$421.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $177.13 / $277.85	Professional		$98.58	$177.13	$277.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.81 / $263.62 / $2,651.52	Facility		$150.81	$263.62	$2,651.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $292.42 / $1,152.96	Professional		$145.97	$292.42	$1,152.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.65 / $227.24 / $352.76	Facility		$166.65	$227.24	$352.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $255.36 / $381.94	Professional		$179.67	$255.36	$381.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $189.30 / $422.10	Professional		$3.00	$189.30	$422.10
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 $133.80 / $227.47 / $395.97	Professional		$133.80	$227.47	$395.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $244.80 / $340.40	Professional		$208.00	$244.80	$340.40