Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $186.31 / $486.00	Professional		$67.63	$186.31	$486.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $169.10 / $232.91	Professional		$120.64	$169.10	$232.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $105.87 / $385.93	Professional		$63.74	$105.87	$385.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $183.09 / $1,554.00	Professional		$90.81	$183.09	$1,554.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.53 / $180.34 / $234.00	Professional		$133.53	$180.34	$234.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $85.57 / $125.99	Professional		$47.94	$85.57	$125.99
United Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $150.38 / $239.40	Professional		$86.68	$150.38	$239.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $140.80 / $165.60	Professional		$111.23	$140.80	$165.60