Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $191.94 / $286.66	Professional		$139.85	$191.94	$286.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $404.74 / $507.98	Professional		$289.17	$404.74	$507.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.82 / $249.02 / $408.54	Professional		$145.82	$249.02	$408.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $367.32 / $1,189.29	Professional		$189.15	$367.32	$1,189.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $272.47 / $380.47 / $475.39	Professional		$272.47	$380.47	$475.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $266.07 / $342.29	Professional		$153.66	$266.07	$342.29
United Facility/Professional Professional Modifier Low / Median / High Price $177.73 / $270.83 / $503.22	Professional		$177.73	$270.83	$503.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $354.90 / $425.80	Professional		$285.89	$354.90	$425.80