Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $758.58	Facility		$208.93	$524.81	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $275.42	Professional		$173.78	$213.80	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $354.81 / $501.19	Professional		$151.36	$354.81	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $331.13 / $630.96	Facility		$275.42	$331.13	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $1,023.29	Professional		$147.91	$251.19	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $588.84	Professional		$275.42	$295.12	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $630.96	Facility		$275.42	$275.42	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $616.60	Professional		$147.91	$147.91	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42