Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.37 / $306.29 / $432.68	Professional		$212.37	$306.29	$432.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $574.59 / $819.03	Professional		$285.42	$574.59	$819.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $358.20 / $650.99	Professional		$186.11	$358.20	$650.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.91 / $530.63 / $1,507.28	Professional		$307.91	$530.63	$1,507.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $391.00 / $544.64 / $765.04	Professional		$391.00	$544.64	$765.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.69 / $327.32 / $519.61	Professional		$183.69	$327.32	$519.61
United Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $404.49 / $702.95	Professional		$296.63	$404.49	$702.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.10 / $424.80 / $595.70	Professional		$361.10	$424.80	$595.70