Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.47 / $212.06 / $5,463.36	Facility		$51.47	$212.06	$5,463.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $54.63 / $196.00	Professional		$25.11	$54.63	$196.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $61.67 / $116.68	Professional		$44.06	$61.67	$116.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $54.56 / $80.58	Professional		$24.09	$54.56	$80.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $77.52 / $1,341.00	Facility		$45.87	$77.52	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $75.31 / $178.40	Professional		$50.19	$75.31	$178.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $75.40 / $132.55	Facility		$52.98	$75.40	$132.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $76.48 / $118.90	Professional		$51.68	$76.48	$118.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
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 $46.84 / $64.76 / $115.83	Professional		$46.84	$64.76	$115.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $49.50 / $94.20	Professional		$42.10	$49.50	$94.20