Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $151.50 / $359.50	Professional		$88.34	$151.50	$359.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $253.21 / $480.40	Professional		$147.26	$253.21	$480.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $238.90 / $460.52	Professional		$87.97	$238.90	$460.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $330.48 / $1,312.96	Professional		$182.15	$330.48	$1,312.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $280.52 / $480.40	Professional		$191.21	$280.52	$480.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $179.60 / $2,805.10	Professional		$90.35	$179.60	$2,805.10
United Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $252.61 / $494.64	Professional		$166.46	$252.61	$494.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $213.60 / $393.40	Professional		$174.60	$213.60	$393.40