Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.34 / $97.34 / $860.30	Facility		$97.34	$97.34	$860.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $100.27 / $161.61	Professional		$90.43	$100.27	$161.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.50 / $343.51 / $353.51	Facility		$333.50	$343.51	$353.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $250.55 / $313.19	Professional		$91.90	$250.55	$313.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $140.13 / $359.93	Professional		$93.92	$140.13	$359.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.34 / $202.27 / $289.89	Facility		$97.34	$202.27	$289.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $146.52 / $689.38	Professional		$96.58	$146.52	$689.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $228.43 / $363.41	Facility		$135.00	$228.43	$363.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $214.25 / $269.02	Professional		$123.00	$214.25	$269.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $95.88 / $176.77	Professional		$33.63	$95.88	$176.77
United Facility/Professional Facility Modifier Low / Median / High Price $147.11 / $151.31 / $217.94	Facility		$147.11	$151.31	$217.94
United Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $115.90 / $198.72	Professional		$96.58	$115.90	$198.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.26 / $197.80 / $232.70	Professional		$156.26	$197.80	$232.70