Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.60 / $178.55 / $275.85	Facility		$134.60	$178.55	$275.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $161.16 / $541.00	Professional		$106.31	$161.16	$541.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $239.43 / $381.72	Professional		$129.79	$239.43	$381.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $210.44 / $370.13	Professional		$117.78	$210.44	$370.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.21 / $202.96 / $296.85	Facility		$126.21	$202.96	$296.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $273.88 / $1,021.95	Professional		$162.69	$273.88	$1,021.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $237.24 / $347.06	Facility		$164.84	$237.24	$347.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $245.42 / $329.64	Professional		$164.84	$245.42	$329.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.99 / $221.89 / $295.13	Professional		$185.99	$221.89	$295.13
United Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $218.30 / $369.73	Professional		$159.22	$218.30	$369.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.10 / $216.70 / $279.39	Professional		$177.10	$216.70	$279.39