Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $407.45 / $1,626.72	Professional		$330.50	$407.45	$1,626.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.46 / $771.31 / $1,026.46	Professional		$384.46	$771.31	$1,026.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $250.74 / $479.37 / $860.42	Professional		$250.74	$479.37	$860.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $699.91 / $2,014.88	Professional		$402.00	$699.91	$2,014.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $705.91 / $950.77	Professional		$507.00	$705.91	$950.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $406.28 / $654.54	Professional		$247.10	$406.28	$654.54
United Facility/Professional Professional Modifier Low / Median / High Price $372.94 / $510.11 / $911.03	Professional		$372.94	$510.11	$911.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $485.60 / $571.29 / $749.80	Professional		$485.60	$571.29	$749.80