Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $154.88 / $758.58	Professional		$64.57	$154.88	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $169.82	Professional		$60.26	$134.90	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $131.83 / $213.80	Professional		$56.23	$131.83	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $446.68	Professional		$66.07	$117.49	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $165.96	Professional		$125.89	$151.36	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $186.21	Professional		$102.33	$138.04	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $144.54	Professional		$61.66	$112.20	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $147.91	Professional		$64.57	$85.11	$147.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $134.90	Professional		$91.20	$114.82	$134.90