Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.91 / $343.91 / $360.40	Facility		$343.91	$343.91	$360.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.09 / $247.42 / $351.77	Professional		$162.09	$247.42	$351.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $433.24	Facility		$246.11	$246.11	$433.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $573.75 / $717.19	Professional		$246.11	$573.75	$717.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $366.26 / $393.85 / $494.96	Professional		$366.26	$393.85	$494.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.42 / $512.01 / $2,095.14	Facility		$247.42	$512.01	$2,095.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.29 / $221.99 / $538.12	Professional		$188.29	$221.99	$538.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $431.98 / $433.24 / $598.32	Facility		$431.98	$433.24	$598.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $392.28 / $512.01 / $827.91	Professional		$392.28	$512.01	$827.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $401.73 / $504.86 / $883.50	Professional		$401.73	$504.86	$883.50
United Facility/Professional Professional Modifier Low / Median / High Price $192.39 / $203.04 / $516.60	Professional		$192.39	$203.04	$516.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $385.97 / $385.97 / $385.97	Facility		$385.97	$385.97	$385.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $304.92 / $385.97 / $385.97	Professional		$304.92	$385.97	$385.97