Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $160.76 / $383.64	Professional		$74.62	$160.76	$383.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $236.03 / $605.29	Professional		$114.48	$236.03	$605.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $286.97 / $375.81	Professional		$77.79	$286.97	$375.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.91 / $409.84 / $1,646.32	Professional		$199.91	$409.84	$1,646.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $314.00 / $605.29	Professional		$182.69	$314.00	$605.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $222.17 / $982.15	Professional		$80.97	$222.17	$982.15
United Facility/Professional Professional Modifier Low / Median / High Price $199.76 / $304.39 / $619.32	Professional		$199.76	$304.39	$619.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $190.00 / $493.00	Professional		$155.30	$190.00	$493.00