Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.49 / $572.96 / $1,251.51	Facility		$317.49	$572.96	$1,251.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $256.23 / $630.00	Professional		$226.78	$256.23	$630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.72 / $535.29 / $669.12	Professional		$353.72	$535.29	$669.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $460.00 / $666.89	Professional		$294.52	$460.00	$666.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $382.88 / $825.94	Facility		$294.52	$382.88	$825.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $303.36 / $1,472.60	Professional		$176.71	$303.36	$1,472.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $353.42 / $600.03 / $825.94	Facility		$353.42	$600.03	$825.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.72 / $600.03 / $843.76	Professional		$353.72	$600.03	$843.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $294.52 / $525.72	Professional		$294.52	$294.52	$525.72
United Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $176.71 / $605.39	Professional		$176.71	$176.71	$605.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $294.52 / $294.52	Professional		$294.52	$294.52	$294.52