Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.34 / $568.97 / $1,145.39	Facility		$432.34	$568.97	$1,145.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $257.85 / $418.40	Professional		$74.84	$257.85	$418.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.28 / $637.40 / $758.81	Professional		$450.28	$637.40	$758.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $353.99 / $847.49	Professional		$272.64	$353.99	$847.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.85 / $450.28 / $735.01	Facility		$257.85	$450.28	$735.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $150.91 / $1,429.87	Professional		$79.76	$150.91	$1,429.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $526.62 / $758.81	Facility		$204.61	$526.62	$758.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $628.25 / $759.31	Professional		$204.61	$628.25	$759.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.01 / $404.36 / $502.91	Professional		$242.01	$404.36	$502.91
United Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $109.89 / $207.48	Professional		$76.92	$109.89	$207.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $440.66 / $557.79 / $656.30	Professional		$440.66	$557.79	$656.30