Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.13 / $563.25 / $5,463.36	Facility		$106.13	$563.25	$5,463.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $134.16 / $354.00	Professional		$44.47	$134.16	$354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $106.15 / $247.36	Professional		$82.44	$106.15	$247.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $100.65 / $179.49	Professional		$37.13	$100.65	$179.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.86 / $131.80 / $1,341.00	Facility		$55.86	$131.80	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $126.91 / $330.21	Professional		$82.76	$126.91	$330.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $119.00 / $228.32	Facility		$84.00	$119.00	$228.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $129.68 / $228.32	Professional		$77.59	$129.68	$228.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $203.79 / $203.79 / $203.79	Facility		$203.79	$203.79	$203.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $73.70 / $154.56	Professional		$36.44	$73.70	$154.56
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 $83.29 / $118.98 / $206.68	Professional		$83.29	$118.98	$206.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $78.80 / $177.20	Professional		$67.00	$78.80	$177.20