Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.01 / $5,463.36 / $7,119.04	Facility		$459.01	$5,463.36	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $110.50 / $310.64	Professional		$64.17	$110.50	$310.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $196.68 / $258.08	Professional		$123.88	$196.68	$258.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $130.04 / $250.70	Professional		$53.10	$130.04	$250.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.85 / $183.33 / $1,151.00	Facility		$93.85	$183.33	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $198.82 / $678.40	Professional		$110.21	$198.82	$678.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.93 / $140.49 / $234.53	Facility		$77.93	$140.49	$234.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $168.97 / $247.41	Professional		$119.52	$168.97	$247.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $172.40 / $237.50	Professional		$117.30	$172.40	$237.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $184.04 / $274.58	Professional		$97.00	$184.04	$274.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $126.80 / $203.20	Professional		$107.80	$126.80	$203.20