Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,570.40 / $6,760.83	Facility		$169.82	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $288.40	Professional		$107.15	$131.83	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $331.13	Professional		$269.15	$288.40	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $467.74	Professional		$114.82	$208.93	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $616.60 / $3,890.45	Facility		$204.17	$616.60	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $851.14	Professional		$138.04	$239.88	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $436.52	Professional		$251.19	$288.40	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $309.03	Professional		$213.80	$302.00	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $288.40	Professional		$169.82	$234.42	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $4,897.79	Facility		$1,288.25	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $371.54	Professional		$125.89	$199.53	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Professional		$218.78	$218.78	$257.04