Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.05 / $210.43 / $231.66	Professional		$155.05	$210.43	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $291.38 / $364.22	Professional		$108.53	$291.38	$364.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.98 / $251.23 / $301.02	Professional		$200.98	$251.23	$301.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.34 / $276.57 / $510.00	Facility		$205.34	$276.57	$510.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $137.97 / $261.00	Professional		$112.80	$137.97	$261.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $304.23 / $539.30	Facility		$261.00	$304.23	$539.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.08 / $275.48 / $539.30	Professional		$245.08	$275.48	$539.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $282.10 / $503.55	Professional		$251.23	$282.10	$503.55
United Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $137.97 / $176.69	Professional		$91.99	$137.97	$176.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $196.64 / $248.91 / $248.91	Professional		$196.64	$248.91	$248.91