Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.07 / $513.10 / $1,977.26	Professional		$332.07	$513.10	$1,977.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $498.75 / $797.39	Professional		$399.00	$498.75	$797.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $306.66 / $309.72 / $1,871.42	Professional		$306.66	$309.72	$1,871.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.43 / $569.61 / $1,603.18	Professional		$367.43	$569.61	$1,603.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $443.65 / $591.71 / $964.39	Professional		$443.65	$591.71	$964.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $306.66 / $352.38 / $614.27	Professional		$306.66	$352.38	$614.27
United Facility/Professional Professional Modifier Low / Median / High Price $367.43 / $442.16 / $704.51	Professional		$367.43	$442.16	$704.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $505.84 / $640.29 / $753.30	Professional		$505.84	$640.29	$753.30