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 $129.85 / $207.15 / $257.19	Professional		$129.85	$207.15	$257.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $256.82 / $590.89	Professional		$150.94	$256.82	$590.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $189.53 / $834.63	Professional		$100.86	$189.53	$834.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.34 / $404.66 / $1,607.00	Facility		$198.34	$404.66	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.57 / $477.82 / $946.72	Professional		$256.57	$477.82	$946.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.15 / $282.87 / $511.92	Facility		$159.15	$282.87	$511.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $291.83 / $590.89	Professional		$159.15	$291.83	$590.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $195.91 / $351.61	Professional		$104.71	$195.91	$351.61
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 $266.74 / $477.82 / $755.07	Professional		$266.74	$477.82	$755.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $193.30 / $343.50	Professional		$164.30	$193.30	$343.50