Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $251.19	Facility		$213.80	$213.80	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $302.00	Professional		$144.54	$186.21	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $389.05	Facility		$194.98	$194.98	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $398.11 / $501.19	Professional		$194.98	$398.11	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $436.52	Professional		$295.12	$407.38	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $407.38 / $1,621.81	Facility		$234.42	$407.38	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $575.44	Professional		$154.88	$208.93	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $467.74	Professional		$380.19	$389.05	$467.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $575.44	Professional		$354.81	$575.44	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $741.31	Professional		$346.74	$457.09	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $257.04 / $501.19	Facility		$117.49	$257.04	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $316.23	Professional		$151.36	$169.82	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $338.84	Professional		$269.15	$338.84	$338.84