Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $243.15 / $608.00	Professional		$156.00	$243.15	$608.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.90 / $417.49 / $465.51	Professional		$371.90	$417.49	$465.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $250.98 / $593.07	Professional		$167.73	$250.98	$593.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $374.45 / $1,775.00	Facility		$191.00	$374.45	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.73 / $412.88 / $1,242.73	Professional		$204.73	$412.88	$1,242.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $284.54 / $371.90 / $538.12	Facility		$284.54	$371.90	$538.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $284.54 / $371.90 / $538.12	Professional		$284.54	$371.90	$538.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.40 / $436.40 / $436.40	Professional		$436.40	$436.40	$436.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $351.46 / $555.39	Professional		$196.20	$351.46	$555.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $327.90 / $327.90 / $385.80	Professional		$327.90	$327.90	$385.80