Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $154.66 / $737.74	Professional		$118.74	$154.66	$737.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $277.07 / $360.30	Professional		$148.02	$277.07	$360.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $188.34 / $464.54	Professional		$127.31	$188.34	$464.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.94 / $292.50 / $521.17	Facility		$150.94	$292.50	$521.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $282.07 / $871.74	Professional		$166.43	$282.07	$871.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $310.18 / $348.57	Facility		$193.00	$310.18	$348.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.90 / $296.13 / $360.30	Professional		$194.90	$296.13	$360.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $223.71 / $272.30	Professional		$121.50	$223.71	$272.30
United Facility/Professional Professional Modifier Low / Median / High Price $151.46 / $234.39 / $402.97	Professional		$151.46	$234.39	$402.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $257.20 / $302.60	Professional		$203.19	$257.20	$302.60