Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $575.44 / $831.76	Facility		$229.09	$575.44	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $380.19	Professional		$199.53	$251.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $724.44	Professional		$389.05	$575.44	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $524.81	Professional		$257.04	$416.87	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $363.08 / $691.83	Facility		$199.53	$363.08	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $186.21 / $831.76	Professional		$52.48	$186.21	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $389.05	Professional		$363.08	$363.08	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $645.65	Professional		$302.00	$323.59	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $691.83	Facility		$302.00	$302.00	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $181.97 / $346.74	Professional		$52.48	$181.97	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00