Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $82.81 / $378.81	Professional		$55.26	$82.81	$378.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $120.09 / $162.11	Professional		$52.90	$120.09	$162.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $79.22 / $242.71	Professional		$46.49	$79.22	$242.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $111.53 / $374.39	Professional		$59.55	$111.53	$374.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $121.91 / $148.88	Professional		$97.28	$121.91	$148.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $85.66 / $105.80	Professional		$52.31	$85.66	$105.80
United Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $82.83 / $129.88	Professional		$59.55	$82.83	$129.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $99.00 / $116.40	Professional		$78.20	$99.00	$116.40