Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $133.10 / $136.29	Facility		$125.50	$133.10	$136.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $106.01 / $376.10	Professional		$80.45	$106.01	$376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $158.79 / $198.49	Professional		$95.14	$158.79	$198.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $118.66 / $313.12	Professional		$81.91	$118.66	$313.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $171.74 / $210.56	Facility		$80.45	$171.74	$210.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $175.45 / $679.98	Professional		$118.68	$175.45	$679.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $175.45 / $283.64	Facility		$127.61	$175.45	$283.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $175.06 / $283.64	Professional		$127.61	$175.06	$283.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $185.90 / $271.60	Professional		$63.20	$185.90	$271.60
United Facility/Professional Professional Modifier Low / Median / High Price $112.92 / $129.47 / $250.52	Professional		$112.92	$129.47	$250.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $107.40 / $128.19	Professional		$98.36	$107.40	$128.19