Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $124.30 / $186.27	Professional		$96.20	$124.30	$186.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $269.27 / $338.68	Professional		$194.00	$269.27	$338.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $163.85 / $294.48	Professional		$106.91	$163.85	$294.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $251.55 / $790.80	Professional		$122.80	$251.55	$790.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $260.33 / $306.63	Professional		$181.00	$260.33	$306.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $173.48 / $224.98	Professional		$103.09	$173.48	$224.98
United Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $175.73 / $326.45	Professional		$115.32	$175.73	$326.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.55 / $237.40 / $279.39	Professional		$187.55	$237.40	$279.39