Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $2,511.89 / $6,760.83	Facility		$44.67	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $263.03	Professional		$44.67	$102.33	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $309.03	Professional		$109.65	$245.47	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $151.36 / $316.23	Professional		$47.86	$151.36	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $245.47 / $3,235.94	Facility		$97.72	$245.47	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $407.38	Professional		$117.49	$199.53	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $288.40	Professional		$104.71	$194.98	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $302.00	Professional		$95.50	$128.82	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $239.88 / $295.12	Professional		$3.02	$239.88	$295.12
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 $57.54 / $125.89 / $281.84	Professional		$57.54	$125.89	$281.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $229.09	Professional		$91.20	$107.15	$229.09