Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $691.83 / $5,888.44	Facility		$85.11	$691.83	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $165.96 / $562.34	Professional		$54.95	$165.96	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $269.15 / $457.09	Professional		$128.82	$269.15	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $177.83 / $501.19	Professional		$58.88	$177.83	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $331.13 / $3,467.37	Facility		$85.11	$331.13	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $489.78	Professional		$138.04	$229.09	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $407.38	Professional		$123.03	$269.15	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $309.03	Professional		$50.12	$114.82	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $4,897.79	Facility		$1,348.96	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $346.74	Professional		$69.18	$162.18	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $323.59	Professional		$100.00	$117.49	$323.59