Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $2,570.40 / $6,760.83	Facility		$50.12	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $169.82	Professional		$30.90	$44.67	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $97.72	Professional		$77.62	$91.20	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $213.80	Professional		$34.67	$64.57	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $245.47 / $1,621.81	Facility		$64.57	$245.47	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $575.44	Professional		$40.74	$74.13	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $131.83	Professional		$74.13	$85.11	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $93.33	Professional		$67.61	$93.33	$93.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $74.13 / $117.49	Professional		$6.03	$74.13	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,202.26 / $2,344.23	Facility		$512.86	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $107.15	Professional		$37.15	$56.23	$107.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $74.13	Professional		$63.10	$63.10	$74.13