Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $232.90 / $366.87	Professional		$195.00	$232.90	$366.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.75 / $425.00 / $676.15	Professional		$294.75	$425.00	$676.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $321.23 / $479.50	Professional		$121.85	$321.23	$479.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $530.89 / $1,853.36	Professional		$269.64	$530.89	$1,853.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $272.05 / $406.70 / $643.97	Professional		$272.05	$406.70	$643.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $448.40 / $675.20	Professional		$5.00	$448.40	$675.20
United Facility/Professional Professional Modifier Low / Median / High Price $247.17 / $476.90 / $731.47	Professional		$247.17	$476.90	$731.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $293.60 / $536.50	Professional		$249.60	$293.60	$536.50