Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $86.00 / $159.22	Facility		$64.17	$86.00	$159.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $75.36 / $400.00	Professional		$66.59	$75.36	$400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.84 / $257.33 / $264.83	Facility		$249.84	$257.33	$264.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $171.43 / $214.29	Professional		$90.80	$171.43	$214.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $108.96 / $330.26	Professional		$66.38	$108.96	$330.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.91 / $150.66 / $266.58	Facility		$66.91	$150.66	$266.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $123.47 / $484.57	Professional		$78.17	$123.47	$484.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.24 / $164.57 / $262.77	Facility		$142.24	$164.57	$262.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $158.81 / $249.06	Professional		$135.94	$158.81	$249.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $49.89 / $125.57	Professional		$25.20	$49.89	$125.57
United Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $96.14 / $189.60	Professional		$76.11	$96.14	$189.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $130.40 / $153.50	Professional		$103.02	$130.40	$153.50