Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.76 / $131.68 / $212.66	Facility		$98.76	$131.68	$212.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $131.69 / $240.00	Professional		$98.96	$131.69	$240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $157.94	Facility		$157.94	$157.94	$157.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $170.49 / $341.44	Professional		$76.00	$170.49	$341.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $157.80 / $230.62	Professional		$118.70	$157.80	$230.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $155.41 / $228.47	Facility		$131.69	$155.41	$228.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $211.37 / $951.21	Professional		$115.00	$211.37	$951.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.01 / $177.55 / $292.48	Facility		$155.01	$177.55	$292.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $208.86 / $386.86	Professional		$144.44	$208.86	$386.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $149.00 / $274.02	Professional		$109.25	$149.00	$274.02
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $178.00 / $371.20	Professional		$110.00	$178.00	$371.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $177.43 / $224.60	Professional		$150.80	$177.43	$224.60