Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $243.79 / $523.41	Professional		$138.25	$243.79	$523.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.33 / $387.06 / $703.26	Professional		$182.33	$387.06	$703.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $323.92 / $722.73	Professional		$141.43	$323.92	$722.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $508.93 / $1,983.28	Professional		$256.39	$508.93	$1,983.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $400.72 / $661.02	Professional		$283.00	$400.72	$661.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $433.00 / $713.20	Professional		$5.00	$433.00	$713.20
United Facility/Professional Professional Modifier Low / Median / High Price $241.19 / $372.93 / $699.24	Professional		$241.19	$372.93	$699.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.10 / $343.90 / $600.20	Professional		$281.10	$343.90	$600.20