Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $315.58 / $594.87	Professional		$195.66	$315.58	$594.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.06 / $508.63 / $817.87	Professional		$223.06	$508.63	$817.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $392.46 / $599.03	Professional		$187.45	$392.46	$599.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.61 / $647.83 / $2,222.08	Professional		$313.61	$647.83	$2,222.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $548.86 / $818.75	Professional		$377.00	$548.86	$818.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $608.40 / $819.70	Professional		$5.00	$608.40	$819.70
United Facility/Professional Professional Modifier Low / Median / High Price $307.19 / $485.04 / $889.45	Professional		$307.19	$485.04	$889.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $381.20 / $455.75 / $678.70	Professional		$381.20	$455.75	$678.70