Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $121.10 / $124.55	Facility		$63.74	$121.10	$124.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $84.38 / $315.00	Professional		$60.92	$84.38	$315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $65.00 / $109.61	Facility		$50.00	$65.00	$109.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $109.90 / $153.25	Professional		$81.04	$109.90	$153.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $131.84 / $175.10	Professional		$105.15	$131.84	$175.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $126.40 / $258.92	Facility		$63.74	$126.40	$258.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $87.28 / $241.03	Professional		$66.06	$87.28	$241.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.61 / $147.41 / $203.13	Facility		$109.61	$147.41	$203.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $151.47 / $214.73	Professional		$102.70	$151.47	$214.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $131.88 / $182.91	Professional		$96.48	$131.88	$182.91
United Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $87.28 / $143.05	Professional		$66.06	$87.28	$143.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $129.50 / $152.40	Professional		$129.50	$129.50	$152.40