Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.82 / $256.06 / $403.83	Professional		$138.82	$256.06	$403.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.49 / $453.50 / $782.02	Professional		$295.49	$453.50	$782.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $374.57 / $598.96	Professional		$124.20	$374.57	$598.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.49 / $589.52 / $2,033.68	Professional		$295.49	$589.52	$2,033.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.49 / $412.96 / $743.41	Professional		$295.49	$412.96	$743.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $507.70 / $738.00	Professional		$5.00	$507.70	$738.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $576.10 / $800.64	Professional		$282.83	$576.10	$800.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $294.30 / $587.29	Professional		$250.20	$294.30	$587.29