Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $338.84	Professional		$97.72	$138.04	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $426.58	Professional		$186.21	$302.00	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $436.52	Professional		$100.00	$177.83	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $812.83	Professional		$144.54	$275.42	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $380.19	Professional		$239.88	$302.00	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $380.19	Professional		$208.93	$275.42	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $323.59	Professional		$102.33	$181.97	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $338.84	Professional		$109.65	$177.83	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $331.13	Professional		$204.17	$239.88	$331.13