Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.51 / $190.51 / $201.64	Facility		$190.51	$190.51	$201.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $147.11 / $246.23	Professional		$110.14	$147.11	$246.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $300.07	Facility		$135.00	$135.00	$300.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $318.00 / $397.50	Professional		$135.00	$318.00	$397.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $272.79 / $291.45	Professional		$259.14	$272.79	$291.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.37 / $323.87 / $1,281.52	Facility		$171.37	$323.87	$1,281.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $142.56 / $372.11	Professional		$122.20	$142.56	$372.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $300.07 / $372.11	Facility		$299.20	$300.07	$372.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.78 / $350.53 / $573.45	Professional		$245.78	$350.53	$573.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $293.66 / $496.68	Professional		$274.19	$293.66	$496.68
United Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $136.10 / $324.77	Professional		$121.11	$136.10	$324.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $259.14 / $259.14 / $259.14	Facility		$259.14	$259.14	$259.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.73 / $259.14 / $259.14	Professional		$204.73	$259.14	$259.14