Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.26 / $381.70 / $1,043.60	Professional		$211.26	$381.70	$1,043.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $448.25 / $660.77	Professional		$323.87	$448.25	$660.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $311.69 / $569.84	Professional		$133.72	$311.69	$569.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.91 / $552.08 / $1,665.76	Professional		$287.91	$552.08	$1,665.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.76 / $456.49 / $690.92	Professional		$323.76	$456.49	$690.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $524.00 / $633.20	Professional		$5.00	$524.00	$633.20
United Facility/Professional Professional Modifier Low / Median / High Price $287.91 / $539.17 / $852.04	Professional		$287.91	$539.17	$852.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.60 / $336.00 / $510.40	Professional		$285.60	$336.00	$510.40