Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $136.19 / $195.44	Professional		$81.06	$136.19	$195.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $246.39 / $366.18	Professional		$169.28	$246.39	$366.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $174.88 / $330.33	Professional		$86.33	$174.88	$330.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $234.98 / $882.06	Professional		$130.01	$234.98	$882.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $234.06 / $322.39	Professional		$174.00	$234.06	$322.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $159.02 / $241.31	Professional		$88.56	$159.02	$241.31
United Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $181.66 / $338.35	Professional		$119.22	$181.66	$338.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $200.80 / $291.39	Professional		$170.70	$200.80	$291.39