Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $243.36 / $467.56	Professional		$120.74	$243.36	$467.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $456.41 / $729.00	Professional		$270.02	$456.41	$729.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.39 / $342.97 / $511.62	Professional		$111.39	$342.97	$511.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $544.72 / $1,966.88	Professional		$264.00	$544.72	$1,966.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $262.91 / $371.25 / $718.56	Professional		$262.91	$371.25	$718.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $451.30 / $737.80	Professional		$5.00	$451.30	$737.80
United Facility/Professional Professional Modifier Low / Median / High Price $259.77 / $489.96 / $768.77	Professional		$259.77	$489.96	$768.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $228.60 / $269.00 / $573.50	Professional		$228.60	$269.00	$573.50