Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $96.29 / $377.83	Professional		$59.43	$96.29	$377.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.59 / $41.37 / $188.92	Professional	52	$32.59	$41.37	$188.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $163.33 / $222.79	Professional		$111.78	$163.33	$222.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $109.23 / $237.76	Professional		$66.64	$109.23	$237.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $157.35 / $1,420.00	Professional		$74.02	$157.35	$1,420.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $160.83 / $209.39	Professional		$113.20	$160.83	$209.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $69.08 / $132.66	Professional		$35.40	$69.08	$132.66
United Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $111.21 / $191.10	Professional		$70.65	$111.21	$191.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $115.42 / $146.10 / $171.90	Professional		$115.42	$146.10	$171.90