Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $184.42 / $581.52	Professional		$107.27	$184.42	$581.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $293.05 / $593.53	Professional		$134.27	$293.05	$593.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $285.31 / $622.66	Professional		$107.05	$285.31	$622.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.31 / $457.94 / $1,632.40	Professional		$216.31	$457.94	$1,632.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $337.86 / $541.92	Professional		$234.00	$337.86	$541.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $236.85 / $1,256.42	Professional		$110.24	$236.85	$1,256.42
United Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $356.59 / $620.75	Professional		$209.76	$356.59	$620.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $260.70 / $491.50	Professional		$213.10	$260.70	$491.50