Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $239.00 / $582.35	Professional		$136.40	$239.00	$582.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $379.51 / $658.08	Professional		$177.90	$379.51	$658.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $337.82 / $473.62	Professional		$136.50	$337.82	$473.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $517.78 / $1,943.92	Professional		$267.27	$517.78	$1,943.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.61 / $418.93 / $658.08	Professional		$288.61	$418.93	$658.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.28 / $246.12 / $478.60	Professional		$129.28	$246.12	$478.60
United Facility/Professional Professional Modifier Low / Median / High Price $247.65 / $371.86 / $749.68	Professional		$247.65	$371.86	$749.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $337.60 / $585.10	Professional		$276.00	$337.60	$585.10