Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.82 / $646.72 / $811.44	Facility		$364.82	$646.72	$811.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $184.25 / $184.25	Professional		$109.87	$184.25	$184.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.95 / $306.89 / $315.83	Facility		$297.95	$306.89	$315.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.56 / $307.18 / $383.97	Professional		$243.56	$307.18	$383.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $157.22 / $452.10	Professional		$106.77	$157.22	$452.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $261.16 / $366.95	Facility		$131.63	$261.16	$366.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $195.15 / $415.49	Professional		$112.54	$195.15	$415.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $243.56 / $328.04	Facility		$94.67	$243.56	$328.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $266.07 / $350.69	Professional		$170.45	$266.07	$350.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $124.79 / $234.39	Professional		$76.31	$124.79	$234.39
United Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $169.42 / $284.25	Professional		$130.10	$169.42	$284.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.39 / $241.00 / $283.50	Professional		$190.39	$241.00	$283.50