Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $281.84 / $416.87	Facility		$114.82	$281.84	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $151.36	Professional		$104.71	$120.23	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $194.98	Professional		$158.49	$158.49	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $269.15	Professional		$128.82	$194.98	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $426.58	Facility		$141.25	$194.98	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $602.56	Professional		$89.13	$151.36	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $316.23	Professional		$144.54	$162.18	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $380.19	Professional		$89.13	$89.13	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36