Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $105.33 / $105.63	Professional		$94.51	$105.33	$105.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $170.31 / $299.32	Professional		$104.45	$170.31	$299.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $107.87 / $194.68	Professional		$100.07	$107.87	$194.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $124.55 / $271.13	Facility		$105.33	$124.55	$271.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.56 / $203.58 / $741.56	Professional		$130.56	$203.58	$741.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $194.78 / $299.32	Facility		$146.63	$194.78	$299.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $197.36 / $316.93	Professional		$148.71	$197.36	$316.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $144.60 / $282.80	Professional		$144.60	$144.60	$282.80
United Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $176.85 / $275.60	Professional		$124.62	$176.85	$275.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $166.10 / $166.10	Professional		$131.22	$166.10	$166.10