Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $191.15 / $191.15	Professional		$120.22	$191.15	$191.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.76 / $340.15 / $478.52	Professional		$286.76	$340.15	$478.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $229.16 / $384.81	Professional		$120.46	$229.16	$384.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $300.20 / $2,654.97	Professional		$158.68	$300.20	$2,654.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $286.76 / $392.65	Professional		$213.00	$286.76	$392.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $238.60 / $326.70	Professional		$6.00	$238.60	$326.70
United Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $255.32 / $403.46	Professional		$142.53	$255.32	$403.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $242.80 / $285.60	Professional		$242.80	$242.80	$285.60