Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $151.36 / $218.78	Facility		$60.26	$151.36	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $79.43	Professional		$54.95	$63.10	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $229.09	Facility		$218.78	$223.87	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $102.33	Professional		$83.18	$102.33	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $151.36	Professional		$67.61	$107.15	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $223.87	Facility		$75.86	$102.33	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $316.23	Professional		$47.86	$79.43	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $169.82	Professional		$77.62	$85.11	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $199.53	Professional		$47.86	$47.86	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43