Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $323.59	Professional		$120.23	$154.88	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $380.19	Professional		$302.00	$338.84	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $616.60	Professional		$128.82	$229.09	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $2,630.27	Professional		$147.91	$257.04	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $489.78	Professional		$288.40	$323.59	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $346.74	Professional		$257.04	$346.74	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $263.03 / $323.59	Professional		$6.03	$263.03	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $398.11	Professional		$134.90	$208.93	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40