Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $1,096.48	Professional		$109.65	$239.88	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $549.54	Professional		$199.53	$316.23	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $218.78 / $501.19	Professional		$83.18	$218.78	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $870.96	Professional		$234.42	$371.54	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $630.96	Professional		$263.03	$489.78	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $354.81	Professional		$77.62	$165.96	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $562.34	Professional		$134.90	$275.42	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $331.13	Professional		$138.04	$162.18	$331.13