Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $575.44 / $831.76	Facility		$234.42	$575.44	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $380.19	Professional		$199.53	$245.47	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $724.44	Professional		$363.08	$575.44	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $331.13 / $524.81	Professional		$104.71	$331.13	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $302.00 / $616.60	Facility		$77.62	$302.00	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $181.97 / $891.25	Professional		$38.02	$181.97	$891.25
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 $295.12 / $331.13 / $645.65	Professional		$295.12	$331.13	$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 $35.48 / $181.97 / $309.03	Professional		$35.48	$181.97	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00