Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $176.09 / $245.82	Professional		$102.20	$176.09	$245.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $297.83 / $449.93	Professional		$210.00	$297.83	$449.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $210.95 / $368.74	Professional		$111.49	$210.95	$368.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.14 / $305.17 / $1,040.25	Professional		$165.14	$305.17	$1,040.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.02 / $294.14 / $415.28	Professional		$225.02	$294.14	$415.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $200.83 / $299.89	Professional		$117.19	$200.83	$299.89
United Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $237.02 / $441.46	Professional		$155.55	$237.02	$441.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.20 / $256.70 / $357.90	Professional		$218.20	$256.70	$357.90