Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $1,071.52	Facility		$295.12	$724.44	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $371.54	Professional		$134.90	$288.40	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $912.01	Professional		$457.09	$741.31	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $891.25	Facility		$295.12	$457.09	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $1,071.52	Professional		$114.82	$190.55	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $457.09	Professional		$245.47	$457.09	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $812.83	Professional		$380.19	$416.87	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $380.19 / $891.25	Facility		$288.40	$380.19	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $489.78	Professional		$114.82	$114.82	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19