Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $182.24 / $682.66	Professional		$108.91	$182.24	$682.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.67 / $294.22 / $332.09	Professional		$265.67	$294.22	$332.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $192.98 / $345.61	Professional		$107.55	$192.98	$345.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $272.93 / $473.11	Professional		$137.40	$272.93	$473.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $254.00 / $352.48	Professional		$180.74	$254.00	$352.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $198.78 / $4,073.54	Professional		$105.71	$198.78	$4,073.54
United Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $260.51 / $367.13	Professional		$129.69	$260.51	$367.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.99 / $232.90 / $274.00	Professional		$183.99	$232.90	$274.00