Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $416.87	Professional		$97.72	$144.54	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $275.42 / $457.09	Professional		$91.20	$275.42	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $489.78	Professional		$123.03	$218.78	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $218.78 / $524.81	Facility		$114.82	$218.78	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $1,023.29	Professional		$169.82	$346.74	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $457.09	Professional		$158.49	$309.03	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $346.74	Professional		$218.78	$346.74	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $323.59	Professional		$117.49	$208.93	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $398.11	Professional		$144.54	$173.78	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $331.13	Professional		$234.42	$275.42	$331.13