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 $275.20 / $380.49 / $512.60	Professional		$275.20	$380.49	$512.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.43 / $575.07 / $718.84	Professional		$362.43	$575.07	$718.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.44 / $349.01 / $852.76	Professional		$234.44	$349.01	$852.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.52 / $486.48 / $1,640.00	Facility		$295.52	$486.48	$1,640.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.24 / $466.19 / $1,184.40	Professional		$288.24	$466.19	$1,184.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $455.94 / $509.98 / $669.35	Facility		$455.94	$509.98	$669.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $429.50 / $509.98 / $756.63	Professional		$429.50	$509.98	$756.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $244.02 / $435.58 / $489.84	Professional		$244.02	$435.58	$489.84
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 $276.80 / $401.02 / $1,015.33	Professional		$276.80	$401.02	$1,015.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $320.11 / $405.20 / $476.70	Professional		$320.11	$405.20	$476.70