Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.99 / $467.99 / $4,286.54	Facility		$271.99	$467.99	$4,286.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $467.99 / $2,244.50	Professional		$176.45	$467.99	$2,244.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $194.85 / $265.32	Professional		$175.54	$194.85	$265.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $351.24 / $1,314.22	Professional		$176.45	$351.24	$1,314.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $258.43 / $596.23	Facility		$155.41	$258.43	$596.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $173.02 / $2,475.46	Professional		$155.41	$173.02	$2,475.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.75 / $276.22 / $353.54	Facility		$206.75	$276.22	$353.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.75 / $258.43 / $362.85	Professional		$206.75	$258.43	$362.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $350.25 / $375.71	Professional		$218.40	$350.25	$375.71
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $179.98 / $209.98	Professional		$176.45	$179.98	$209.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $170.08 / $170.08 / $170.08	Facility		$170.08	$170.08	$170.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $170.08 / $170.08	Professional		$134.36	$170.08	$170.08