Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,511.89 / $6,760.83	Facility		$134.90	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $436.52	Professional		$102.33	$181.97	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $489.78	Professional		$257.04	$346.74	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $436.52	Professional		$120.23	$251.19	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $363.08 / $1,380.38	Facility		$169.82	$363.08	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $831.76	Professional		$181.97	$302.00	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $457.09	Professional		$245.47	$338.84	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $446.68	Professional		$223.87	$302.00	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $295.12 / $436.52	Professional		$3.02	$295.12	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,202.26 / $2,344.23	Facility		$562.34	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $389.05	Professional		$131.83	$223.87	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $371.54	Professional		$213.80	$251.19	$371.54