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 $67.20 / $126.59 / $151.38	Professional		$67.20	$126.59	$151.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $185.65 / $234.73	Professional		$84.67	$185.65	$234.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $96.06 / $197.01	Professional		$65.04	$96.06	$197.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $207.38 / $1,371.00	Facility		$121.56	$207.38	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $177.10 / $587.00	Professional		$93.86	$177.10	$587.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.78 / $155.03 / $217.96	Facility		$67.78	$155.03	$217.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $178.46 / $229.39	Professional		$123.26	$178.46	$229.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $98.28 / $152.63	Professional		$65.04	$98.28	$152.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $126.90 / $237.33	Professional		$85.15	$126.90	$237.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $158.00 / $187.70	Professional		$126.01	$158.00	$187.70