Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $501.19 / $724.44	Facility		$204.17	$501.19	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $371.54	Professional		$173.78	$223.87	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $630.96	Professional		$398.11	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $478.63	Professional		$263.03	$436.52	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $338.84 / $660.69	Facility		$263.03	$338.84	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $954.99	Professional		$245.47	$389.05	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $338.84	Professional		$316.23	$316.23	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $562.34	Professional		$257.04	$288.40	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $602.56	Facility		$263.03	$263.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $616.60	Professional		$245.47	$263.03	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03