Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $283.73 / $283.73	Professional		$179.80	$283.73	$283.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.29 / $470.32 / $541.47	Professional		$408.29	$470.32	$541.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $286.58 / $496.85	Professional		$150.00	$286.58	$496.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.02 / $434.87 / $1,418.24	Professional		$230.02	$434.87	$1,418.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $408.29 / $567.94	Professional		$288.14	$408.29	$567.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $379.70 / $516.00	Professional		$5.00	$379.70	$516.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $422.65 / $675.94	Professional		$206.66	$422.65	$675.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $345.70 / $345.70 / $406.70	Professional		$345.70	$345.70	$406.70