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 $113.32 / $218.82 / $370.52	Professional		$113.32	$218.82	$370.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.82 / $332.09 / $724.56	Professional		$168.82	$332.09	$724.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $327.11 / $722.46	Professional		$145.26	$327.11	$722.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.53 / $467.51 / $1,966.96	Facility		$228.53	$467.51	$1,966.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.27 / $552.41 / $1,529.06	Professional		$279.27	$552.41	$1,529.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $227.36 / $460.30 / $727.06	Facility		$227.36	$460.30	$727.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $227.36 / $432.14 / $709.45	Professional		$227.36	$432.14	$709.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $226.54 / $451.18	Professional		$112.35	$226.54	$451.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.18 / $495.85 / $813.00	Professional		$270.18	$495.85	$813.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $277.20 / $564.00	Professional		$226.50	$277.20	$564.00