Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $132.91 / $572.65	Professional		$98.28	$132.91	$572.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $241.52 / $301.89	Professional		$107.67	$241.52	$301.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $164.06 / $550.83	Professional		$99.43	$164.06	$550.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $193.69 / $888.45	Professional		$116.20	$193.69	$888.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $232.61 / $324.33	Professional		$148.91	$232.61	$324.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.60 / $181.10 / $263.10	Professional		$136.60	$181.10	$263.10
United Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $158.46 / $343.89	Professional		$113.68	$158.46	$343.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $214.20 / $252.00	Professional		$169.22	$214.20	$252.00