Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $71.47 / $95.83	Professional		$62.55	$71.47	$95.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $177.37 / $320.63	Professional		$63.51	$177.37	$320.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $228.05 / $320.91	Professional		$94.80	$228.05	$320.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $110.49 / $408.85	Facility		$32.14	$110.49	$408.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $279.42 / $749.27	Professional		$141.84	$279.42	$749.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $131.40 / $307.39	Facility		$93.64	$131.40	$307.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $131.40 / $311.45	Professional		$87.31	$131.40	$311.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.60 / $268.60 / $268.60	Professional		$268.60	$268.60	$268.60
United Facility/Professional Professional Modifier Low / Median / High Price $184.97 / $277.45 / $438.91	Professional		$184.97	$277.45	$438.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $77.00 / $90.60	Professional		$60.83	$77.00	$90.60