Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.55 / $391.05 / $1,275.08	Professional		$231.55	$391.05	$1,275.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.43 / $599.55 / $917.56	Professional		$300.43	$599.55	$917.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.90 / $461.97 / $1,145.25	Professional		$222.90	$461.97	$1,145.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.93 / $764.73 / $2,529.28	Professional		$392.93	$764.73	$2,529.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.02 / $674.86 / $917.56	Professional		$459.02	$674.86	$917.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $691.20 / $963.90	Professional		$5.00	$691.20	$963.90
United Facility/Professional Professional Modifier Low / Median / High Price $360.18 / $614.92 / $1,065.92	Professional		$360.18	$614.92	$1,065.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $456.30 / $536.79 / $776.10	Professional		$456.30	$536.79	$776.10