Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $218.99 / $497.14	Professional		$123.53	$218.99	$497.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $349.49 / $630.07	Professional		$166.63	$349.49	$630.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $297.58 / $721.34	Professional		$127.18	$297.58	$721.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.23 / $482.84 / $1,888.80	Professional		$244.23	$482.84	$1,888.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.82 / $382.32 / $630.07	Professional		$263.82	$382.32	$630.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $411.40 / $682.00	Professional		$5.00	$411.40	$682.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.39 / $355.25 / $661.19	Professional		$230.39	$355.25	$661.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $252.20 / $308.60 / $568.50	Professional		$252.20	$308.60	$568.50