Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.33 / $343.23 / $523.35	Facility		$207.33	$343.23	$523.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $167.32 / $186.55	Professional		$126.93	$167.32	$186.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.97 / $349.90 / $437.38	Professional		$230.97	$349.90	$437.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.55 / $336.56 / $357.44	Professional		$211.55	$336.56	$357.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $248.17 / $513.49	Facility		$192.32	$248.17	$513.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $192.32 / $646.97	Professional		$104.41	$192.32	$646.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.78 / $318.58 / $421.49	Facility		$230.78	$318.58	$421.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.78 / $316.48 / $421.49	Professional		$230.78	$316.48	$421.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $192.32 / $343.29	Professional		$192.32	$192.32	$343.29
United Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $115.39 / $419.26	Professional		$104.41	$115.39	$419.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $192.32 / $192.32	Professional		$192.32	$192.32	$192.32