Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $160.08 / $224.47	Professional		$98.11	$160.08	$224.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.77 / $297.02 / $384.32	Professional		$207.77	$297.02	$384.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $199.11 / $399.47	Professional		$104.47	$199.11	$399.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $280.20 / $1,012.88	Professional		$150.68	$280.20	$1,012.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.77 / $281.81 / $379.76	Professional		$207.77	$281.81	$379.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $184.39 / $273.39	Professional		$105.45	$184.39	$273.39
United Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $211.47 / $389.34	Professional		$138.78	$211.47	$389.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $242.40 / $330.70	Professional		$206.00	$242.40	$330.70