Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $301.30 / $420.70	Professional		$215.06	$301.30	$420.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.57 / $566.79 / $798.58	Professional		$280.57	$566.79	$798.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.33 / $353.30 / $646.86	Professional		$183.33	$353.30	$646.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.64 / $524.42 / $1,482.88	Professional		$301.64	$524.42	$1,482.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $386.10 / $535.75 / $743.41	Professional		$386.10	$535.75	$743.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $318.62 / $505.83	Professional		$181.18	$318.62	$505.83
United Facility/Professional Professional Modifier Low / Median / High Price $290.32 / $395.90 / $701.83	Professional		$290.32	$395.90	$701.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.70 / $418.50 / $580.29	Professional		$355.70	$418.50	$580.29