Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $709.74 / $877.19	Professional		$103.26	$709.74	$877.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $272.33 / $1,113.05	Professional		$126.75	$272.33	$1,113.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $675.18 / $709.22 / $851.07	Professional		$675.18	$709.22	$851.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.18 / $982.45 / $4,060.36	Facility		$240.18	$982.45	$4,060.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $316.52 / $4,977.89	Professional		$95.65	$316.52	$4,977.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.38 / $955.00 / $1,761.42	Facility		$201.38	$955.00	$1,761.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $487.73 / $1,408.61	Professional		$201.38	$487.73	$1,408.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.70 / $1,076.70 / $1,076.70	Professional		$1,076.70	$1,076.70	$1,076.70
United Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $296.75 / $532.16	Professional		$95.45	$296.75	$532.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $401.00 / $471.80	Professional		$316.79	$401.00	$471.80