Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $114.99 / $539.41	Professional		$99.06	$114.99	$539.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $219.80 / $310.56	Professional		$113.40	$219.80	$310.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $160.13 / $711.00	Professional		$107.04	$160.13	$711.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $175.35 / $259.88	Facility		$103.58	$175.35	$259.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $189.28 / $1,082.00	Professional		$127.69	$189.28	$1,082.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $219.80 / $305.38	Facility		$166.43	$219.80	$305.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $223.06 / $305.38	Professional		$166.43	$223.06	$305.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $187.43 / $211.70	Professional		$105.00	$187.43	$211.70
United Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $157.94 / $269.54	Professional		$116.08	$157.94	$269.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $230.40 / $230.40	Professional		$182.02	$230.40	$230.40