Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.50 / $291.50 / $291.50	Facility		$291.50	$291.50	$291.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $106.29 / $705.83	Professional		$103.98	$106.29	$705.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.35 / $511.24 / $526.13	Facility		$496.35	$511.24	$526.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.78 / $276.33 / $343.25	Professional		$236.78	$276.33	$343.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $197.76 / $479.91	Professional		$108.10	$197.76	$479.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $291.50 / $575.59	Facility		$163.69	$291.50	$575.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $230.66 / $713.23	Professional		$131.88	$230.66	$713.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.42 / $251.20 / $511.24	Facility		$65.42	$251.20	$511.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $226.60 / $289.89 / $399.63	Professional		$226.60	$289.89	$399.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $79.03 / $199.76	Professional		$40.02	$79.03	$199.76
United Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $150.71 / $231.39	Professional		$119.89	$150.71	$231.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $201.50 / $237.10	Professional		$159.19	$201.50	$237.10