Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $138.88 / $274.11	Professional		$37.65	$138.88	$274.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $159.80 / $427.90	Professional		$51.10	$159.80	$427.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $186.67 / $272.27	Professional		$39.63	$186.67	$272.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $302.19 / $1,196.56	Professional		$103.22	$302.19	$1,196.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $234.19 / $414.75	Professional		$88.79	$234.19	$414.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $315.50 / $451.40	Professional		$5.00	$315.50	$451.40
United Facility/Professional Professional Modifier Low / Median / High Price $146.11 / $272.83 / $475.63	Professional		$146.11	$272.83	$475.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $95.80 / $357.10	Professional		$78.30	$95.80	$357.10