Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.56 / $524.24 / $644.79	Professional		$369.56	$524.24	$644.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.22 / $991.79 / $1,245.89	Professional		$733.22	$991.79	$1,245.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $584.60 / $1,118.83	Professional		$307.07	$584.60	$1,118.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.04 / $1,045.49 / $3,128.96	Professional		$534.04	$1,045.49	$3,128.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $667.13 / $927.20 / $1,241.24	Professional		$667.13	$927.20	$1,241.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $941.10 / $1,244.30	Professional		$5.00	$941.10	$1,244.30
United Facility/Professional Professional Modifier Low / Median / High Price $512.57 / $833.48 / $1,450.92	Professional		$512.57	$833.48	$1,450.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $639.70 / $752.60 / $923.70	Professional		$639.70	$752.60	$923.70