Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $199.53	Professional		$67.61	$100.00	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $213.80	Professional		$162.18	$169.82	$213.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $263.03	Professional		$125.89	$165.96	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $162.18 / $323.59	Facility		$123.03	$162.18	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $302.00	Professional		$67.61	$87.10	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $190.55	Professional		$162.18	$169.82	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $323.59	Professional		$186.21	$245.47	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $323.59	Professional		$151.36	$208.93	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Facility		$74.13	$74.13	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $123.03	Professional		$64.57	$74.13	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83