Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $730.01 / $1,021.11	Facility		$375.25	$730.01	$1,021.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.67 / $288.94 / $363.99	Professional		$247.67	$288.94	$363.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.30 / $681.52 / $851.90	Professional		$450.30	$681.52	$851.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $506.59 / $1,917.94	Professional		$318.95	$506.59	$1,917.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $484.23 / $960.64	Facility		$375.25	$484.23	$960.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $251.79 / $1,409.92	Professional		$225.15	$251.79	$1,409.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $450.30 / $569.76 / $822.39	Facility		$450.30	$569.76	$822.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $450.30 / $686.24 / $979.40	Professional		$450.30	$686.24	$979.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $669.82	Professional		$375.25	$375.25	$669.82
United Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $225.15 / $818.05	Professional		$225.15	$225.15	$818.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $375.25	Professional		$375.25	$375.25	$375.25