Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $537.03	Professional		$177.83	$263.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $812.83	Professional		$467.74	$602.56	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $660.69	Professional		$181.97	$346.74	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $851.14	Professional		$302.00	$489.78	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $741.31	Professional		$436.52	$549.54	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $562.34	Professional		$173.78	$309.03	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $645.65	Professional		$223.87	$338.84	$645.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $575.44	Professional		$354.81	$416.87	$575.44