Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $196.42 / $239.16	Professional		$123.66	$196.42	$239.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.48 / $333.88 / $443.11	Professional		$255.48	$333.88	$443.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $216.27 / $372.43	Professional		$128.08	$216.27	$372.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $319.66 / $1,076.77	Professional		$169.41	$319.66	$1,076.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $246.25 / $319.35 / $398.89	Professional		$246.25	$319.35	$398.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.01 / $227.27 / $293.75	Professional		$124.01	$227.27	$293.75
United Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $235.70 / $438.98	Professional		$154.68	$235.70	$438.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.68 / $289.89 / $348.10	Professional		$233.68	$289.89	$348.10