Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $114.82	Professional		$67.61	$89.13	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $223.87	Professional		$75.86	$181.97	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $234.42	Professional		$181.97	$213.80	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $123.03 / $263.03	Facility		$81.28	$123.03	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $245.47	Professional		$87.10	$128.82	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $371.54	Professional		$275.42	$316.23	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $208.93	Professional		$87.10	$120.23	$208.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $199.53	Professional		$131.83	$181.97	$199.53