Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $112.41 / $118.04	Facility		$90.00	$112.41	$118.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $76.65 / $136.53	Professional		$61.28	$76.65	$136.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $140.44 / $196.72	Professional		$76.65	$140.44	$196.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $121.34 / $187.50	Professional		$68.50	$121.34	$187.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.03 / $119.04 / $164.72	Facility		$74.03	$119.04	$164.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $149.29 / $546.96	Professional		$94.38	$149.29	$546.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $141.24 / $203.62	Facility		$95.55	$141.24	$203.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $137.32 / $175.53	Professional		$95.55	$137.32	$175.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $127.88 / $154.46	Professional		$98.16	$127.88	$154.46
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $113.11 / $199.23	Professional		$86.74	$113.11	$199.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $120.80 / $146.60	Professional		$102.70	$120.80	$146.60