Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $676.08 / $6,760.83	Facility		$199.53	$676.08	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $512.86	Professional		$114.82	$208.93	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $616.60	Professional		$288.40	$363.08	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $309.03 / $416.87	Professional		$120.23	$309.03	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $478.63 / $3,235.94	Facility		$199.53	$478.63	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $891.25	Professional		$213.80	$371.54	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $549.54	Professional		$263.03	$323.59	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $562.34	Professional		$257.04	$323.59	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $457.09 / $549.54	Professional		$5.01	$457.09	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,897.79	Facility		$1,318.26	$2,344.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $512.86	Professional		$141.25	$263.03	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $457.09	Professional		$234.42	$275.42	$457.09