Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $426.58	Professional		$147.91	$213.80	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $575.44	Professional		$162.18	$371.54	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $512.86	Professional		$151.36	$295.12	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $1,621.81	Professional		$223.87	$416.87	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $575.44	Professional		$346.74	$426.58	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $575.44	Professional		$302.00	$416.87	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $575.44	Professional		$234.42	$457.09	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $501.19	Professional		$165.96	$263.03	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $489.78	Professional		$302.00	$354.81	$489.78