Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.62 / $153.71 / $202.91	Facility		$135.62	$153.71	$202.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $74.08 / $105.48	Professional		$55.10	$74.08	$105.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $95.11 / $190.65	Professional		$61.00	$95.11	$190.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $79.39 / $229.20	Professional		$57.23	$79.39	$229.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $99.93 / $167.50	Facility		$63.60	$99.93	$167.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $184.50 / $491.49	Professional		$84.82	$184.50	$491.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.62 / $166.44 / $202.88	Facility		$152.62	$166.44	$202.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $168.35 / $202.88	Professional		$147.08	$168.35	$202.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $93.98 / $135.63	Professional		$65.17	$93.98	$135.63
United Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $129.38 / $218.08	Professional		$78.28	$129.38	$218.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $122.40 / $144.00	Professional		$107.20	$122.40	$144.00