Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $151.25 / $221.94	Professional		$140.69	$151.25	$221.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.53 / $330.41 / $420.76	Professional		$228.53	$330.41	$420.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $197.19 / $338.39	Professional		$93.76	$197.19	$338.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $330.41 / $1,128.08	Professional		$173.02	$330.41	$1,128.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.15 / $278.63 / $409.54	Professional		$201.15	$278.63	$409.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $290.89 / $406.50	Professional		$5.00	$290.89	$406.50
United Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $318.02 / $455.64	Professional		$158.29	$318.02	$455.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $227.70 / $329.10	Professional		$193.50	$227.70	$329.10