Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.23 / $318.93 / $7,119.04	Facility		$245.23	$318.93	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $129.08 / $459.75	Professional		$80.00	$129.08	$459.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $227.98 / $303.85	Professional		$173.95	$227.98	$303.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $141.46 / $327.04	Professional		$80.20	$141.46	$327.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.20 / $216.01 / $597.22	Facility		$116.20	$216.01	$597.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $224.60 / $903.41	Professional		$116.68	$224.60	$903.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $202.52 / $271.60	Facility		$98.32	$202.52	$271.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $222.84 / $294.94	Professional		$173.95	$222.84	$294.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $127.22 / $188.32	Professional		$74.93	$127.22	$188.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $177.16 / $316.08	Professional		$102.09	$177.16	$316.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $180.40 / $236.30	Professional		$153.40	$180.40	$236.30