Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $3,235.94 / $6,760.83	Facility		$158.49	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $281.84	Professional		$102.33	$125.89	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $316.23	Professional		$208.93	$257.04	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $398.11	Professional		$112.20	$162.18	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $1,949.84	Facility		$162.18	$257.04	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $3,019.95	Professional		$117.49	$229.09	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $309.03	Professional		$251.19	$275.42	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $309.03	Professional		$223.87	$234.42	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $251.19	Professional		$104.71	$186.21	$251.19
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 $109.65 / $165.96 / $331.13	Professional		$109.65	$165.96	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $263.03	Professional		$173.78	$223.87	$263.03