Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $483.45 / $676.23	Facility		$248.51	$483.45	$676.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.64 / $671.64 / $671.64	Professional		$671.64	$671.64	$671.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $451.08 / $563.86	Professional		$298.20	$451.08	$563.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.23 / $335.49 / $1,270.17	Professional		$211.23	$335.49	$1,270.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $320.68 / $636.19	Facility		$248.51	$320.68	$636.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $166.75 / $933.72	Professional		$149.11	$166.75	$933.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.20 / $347.91 / $544.62	Facility		$298.20	$347.91	$544.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $454.46 / $648.61	Professional		$298.20	$454.46	$648.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $248.51 / $443.59	Professional		$241.80	$248.51	$443.59
United Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $149.11 / $541.75	Professional		$149.11	$149.11	$541.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $248.51	Professional		$248.51	$248.51	$248.51