Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.19 / $299.19 / $299.19	Facility		$299.19	$299.19	$299.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.98 / $222.98 / $1,936.32	Professional		$222.98	$222.98	$1,936.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $921.33 / $948.97 / $976.61	Facility		$921.33	$948.97	$976.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.45 / $586.42 / $733.04	Professional		$529.45	$586.42	$733.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $214.39 / $334.08 / $802.48	Professional		$214.39	$334.08	$802.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.02 / $619.24 / $1,031.97	Facility		$353.02	$619.24	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.19 / $346.63 / $842.31	Professional		$266.19	$346.63	$842.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $348.98 / $522.39 / $948.97	Facility		$348.98	$522.39	$948.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $352.69 / $561.87 / $802.82	Professional		$352.69	$561.87	$802.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $236.08 / $450.02	Professional		$32.00	$236.08	$450.02
United Facility/Professional Professional Modifier Low / Median / High Price $264.94 / $319.43 / $536.94	Professional		$264.94	$319.43	$536.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $335.59 / $424.80 / $499.70	Professional		$335.59	$424.80	$499.70