Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.61 / $173.73 / $307.77	Professional		$120.61	$173.73	$307.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $342.50 / $469.41	Professional		$250.87	$342.50	$469.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $224.81 / $380.69	Professional		$104.36	$224.81	$380.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.01 / $328.62 / $1,244.64	Professional		$180.01	$328.62	$1,244.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $301.45 / $435.32	Professional		$217.01	$301.45	$435.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $238.80 / $445.30	Professional		$3.00	$238.80	$445.30
United Facility/Professional Professional Modifier Low / Median / High Price $161.52 / $294.33 / $465.12	Professional		$161.52	$294.33	$465.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $214.40 / $252.20 / $367.90	Professional		$214.40	$252.20	$367.90