Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $147.91 / $194.98	Facility		$51.29	$147.91	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $117.49 / $363.08	Professional		$52.48	$117.49	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $162.18	Professional		$83.18	$128.82	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $223.87	Professional		$67.61	$123.03	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $87.10 / $186.21	Facility		$67.61	$87.10	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $177.83	Professional		$40.74	$81.28	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $123.03	Professional		$81.28	$87.10	$123.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $147.91	Facility		$67.61	$67.61	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $162.18	Professional		$40.74	$56.23	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $67.61	Professional		$53.70	$67.61	$67.61