Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $136.81 / $226.84	Professional		$94.57	$136.81	$226.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.77 / $281.45 / $407.08	Professional		$213.77	$281.45	$407.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $183.56 / $268.60	Professional		$88.83	$183.56	$268.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $289.04 / $1,715.04	Professional		$152.30	$289.04	$1,715.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $250.23 / $368.17	Professional		$180.48	$250.23	$368.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $238.90 / $357.50	Professional		$3.00	$238.90	$357.50
United Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $246.05 / $388.81	Professional		$139.54	$246.05	$388.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $218.80 / $312.30	Professional		$186.00	$218.80	$312.30