Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $178.25 / $208.48	Professional		$106.52	$178.25	$208.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $298.00 / $404.37	Professional		$156.28	$298.00	$404.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $169.12 / $432.53	Professional		$121.64	$169.12	$432.53
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $39.26 / $91.72	Professional	26	$24.30	$39.26	$91.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $285.87 / $1,025.66	Professional		$136.61	$285.87	$1,025.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $276.61 / $378.96	Professional		$155.88	$276.61	$378.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $126.74 / $247.78	Professional		$26.17	$126.74	$247.78
United Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $252.49 / $337.80	Professional		$134.56	$252.49	$337.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.91 / $280.89 / $330.50	Professional		$221.91	$280.89	$330.50