Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $276.55 / $448.66	Professional		$134.94	$276.55	$448.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $660.55 / $887.20	Professional		$196.33	$660.55	$887.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $399.44 / $567.05	Professional		$116.38	$399.44	$567.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.63 / $669.42 / $1,074.70	Professional		$239.63	$669.42	$1,074.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $508.65 / $825.10	Professional		$193.59	$508.65	$825.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $309.52 / $579.11	Professional		$88.32	$309.52	$579.11
United Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $600.15 / $907.84	Professional		$326.77	$600.15	$907.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $185.50 / $634.00	Professional		$157.69	$185.50	$634.00