Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $226.60 / $365.04	Professional		$145.22	$226.60	$365.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.26 / $401.76 / $586.08	Professional		$175.26	$401.76	$586.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $287.45 / $454.67	Professional		$150.00	$287.45	$454.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.43 / $468.70 / $1,605.76	Professional		$238.43	$468.70	$1,605.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $303.10 / $410.74 / $586.08	Professional		$303.10	$410.74	$586.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $404.10 / $574.00	Professional		$5.00	$404.10	$574.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $328.47 / $655.75	Professional		$221.58	$328.47	$655.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $304.80 / $358.60 / $486.20	Professional		$304.80	$358.60	$486.20