Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.83 / $544.71 / $761.93	Facility		$301.83	$544.71	$761.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $243.60 / $271.60	Professional		$184.80	$243.60	$271.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.28 / $508.53 / $635.66	Professional		$336.28	$508.53	$635.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $490.00 / $943.49	Professional		$308.00	$490.00	$943.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $336.28 / $644.00	Facility		$266.00	$336.28	$644.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $280.00 / $1,099.09	Professional		$168.00	$280.00	$1,099.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $513.41 / $622.23	Facility		$336.00	$513.41	$622.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $513.41 / $714.00	Professional		$336.00	$513.41	$714.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $499.80	Professional		$280.00	$280.00	$499.80
United Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $168.00 / $573.29	Professional		$168.00	$168.00	$573.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $280.00	Professional		$280.00	$280.00	$280.00