Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $707.95	Professional		$229.09	$354.81	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $549.54 / $1,023.29	Professional		$251.19	$549.54	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $1,288.25	Professional		$223.87	$478.63	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $2,511.89	Professional		$363.08	$691.83	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $891.25	Professional		$562.34	$691.83	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $912.01	Professional		$457.09	$707.95	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $758.58 / $954.99	Professional		$5.01	$758.58	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $812.83	Professional		$269.15	$436.52	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $776.25	Professional		$457.09	$537.03	$776.25