Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $106.75 / $142.51	Professional		$97.13	$106.75	$142.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $210.31 / $306.44	Professional		$126.59	$210.31	$306.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $104.98 / $296.20	Professional		$84.80	$104.98	$296.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $244.35 / $1,496.82	Professional		$119.59	$244.35	$1,496.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $220.49 / $270.23	Professional		$169.58	$220.49	$270.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $132.69 / $261.39	Professional		$132.69	$132.69	$261.39
United Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $220.37 / $356.87	Professional		$116.36	$220.37	$356.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.60 / $167.60 / $197.10	Professional		$167.60	$167.60	$197.10