Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $2,301.00 / $6,298.62	Facility		$154.13	$2,301.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $108.60 / $1,168.64	Professional		$47.31	$108.60	$1,168.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $146.08 / $201.59	Professional		$78.81	$146.08	$201.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $90.96 / $158.93	Professional		$50.26	$90.96	$158.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $127.13 / $1,607.00	Facility		$68.56	$127.13	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $143.25 / $399.52	Professional		$76.48	$143.25	$399.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $158.66 / $208.74	Facility		$117.90	$158.66	$208.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $146.31 / $197.63	Professional		$106.68	$146.31	$197.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,098.20 / $1,098.20 / $1,098.20	Facility		$1,098.20	$1,098.20	$1,098.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $104.31 / $181.19	Professional		$75.78	$104.31	$181.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $113.00 / $152.10	Professional		$96.00	$113.00	$152.10