Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $354.81	Professional		$123.03	$151.36	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $457.09	Professional		$204.17	$354.81	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $398.11	Professional		$128.82	$186.21	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $954.99	Professional		$158.49	$316.23	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $398.11	Professional		$281.84	$331.13	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $398.11	Professional		$257.04	$309.03	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $323.59	Professional		$123.03	$223.87	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $407.38	Professional		$134.90	$204.17	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $346.74	Professional		$234.42	$288.40	$346.74