Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,511.89 / $6,760.83	Facility		$158.49	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $537.03	Professional		$107.15	$199.53	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $501.19	Professional		$275.42	$346.74	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $371.54	Professional		$109.65	$204.17	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $346.74 / $5,011.87	Facility		$177.83	$346.74	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $524.81	Professional		$169.82	$295.12	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $457.09	Professional		$263.03	$316.23	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $354.81	Professional		$117.49	$213.80	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $389.05	Professional		$128.82	$190.55	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $354.81	Professional		$213.80	$251.19	$354.81