Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Professional		$65.91	$65.91	$65.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $253.41 / $253.41	Professional		$224.78	$253.41	$253.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $52.37 / $82.34	Professional		$44.51	$52.37	$82.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $69.20 / $291.27	Facility		$65.91	$69.20	$291.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $253.41 / $253.41	Professional		$224.78	$253.41	$253.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $240.87 / $253.41	Professional		$224.78	$240.87	$253.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $313.45 / $333.37 / $353.63	Professional		$313.45	$333.37	$353.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $425.82 / $425.82 / $425.82	Professional		$425.82	$425.82	$425.82