Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $676.08	Professional		$123.03	$194.98	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $446.68	Professional		$302.00	$354.81	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $446.68	Professional		$144.54	$208.93	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $645.65	Professional		$125.89	$208.93	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $478.63	Professional		$269.15	$309.03	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Professional		$354.81	$354.81	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $309.03	Professional		$141.25	$158.49	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $257.04	Professional		$123.03	$147.91	$257.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $323.59	Professional		$218.78	$275.42	$323.59