Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.36 / $224.43 / $490.19	Facility		$124.36	$224.43	$490.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $160.30 / $741.77	Professional		$132.66	$160.30	$741.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $209.55 / $261.94	Professional		$132.57	$209.55	$261.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $173.04 / $285.44	Professional		$115.36	$173.04	$285.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $149.97 / $396.53	Facility		$64.59	$149.97	$396.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $138.43 / $533.17	Professional		$69.22	$138.43	$533.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.55 / $215.00 / $361.65	Facility		$138.55	$215.00	$361.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $235.01 / $332.30	Professional		$138.55	$235.01	$332.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $115.36 / $205.92	Professional		$115.36	$115.36	$205.92
United Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $115.36 / $115.36	Facility		$115.36	$115.36	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $94.19 / $291.75	Professional		$69.22	$94.19	$291.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $115.36 / $115.36	Professional		$91.13	$115.36	$115.36