Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,090.30 / $6,760.83	Facility		$100.00	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $346.74	Professional		$64.57	$131.83	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $371.54	Professional		$131.83	$251.19	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $151.36 / $954.99	Professional		$64.57	$151.36	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $229.09 / $1,348.96	Facility		$112.20	$229.09	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $524.81	Professional		$134.90	$275.42	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $363.08	Professional		$165.96	$288.40	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $575.44	Professional		$169.82	$275.42	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $309.03	Professional		$60.26	$138.04	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $363.08	Professional		$79.43	$158.49	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $288.40	Professional		$114.82	$190.55	$288.40