Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.80 / $3,237.00 / $6,446.00	Facility		$537.80	$3,237.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $285.73 / $1,086.00	Professional		$218.90	$285.73	$1,086.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.99 / $613.66 / $841.43	Professional		$487.99	$613.66	$841.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $214.98 / $407.26 / $626.04	Professional		$214.98	$407.26	$626.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.55 / $624.84 / $7,155.00	Facility		$390.55	$624.84	$7,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $621.10 / $2,219.44	Professional		$321.27	$621.10	$2,219.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $487.99 / $706.45 / $3,093.19	Facility		$487.99	$706.45	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $576.74 / $765.84	Professional		$414.00	$576.74	$765.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $426.70 / $3,359.49	Professional		$229.26	$426.70	$3,359.49
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 $294.17 / $613.57 / $868.42	Professional		$294.17	$613.57	$868.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $444.50 / $522.90 / $663.10	Professional		$444.50	$522.90	$663.10