Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.23 / $542.46 / $700.21	Professional		$241.23	$542.46	$700.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.81 / $910.77 / $1,138.46	Professional		$400.81	$910.77	$1,138.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.01 / $469.42 / $1,152.20	Professional		$342.01	$469.42	$1,152.20
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.25 / $135.83 / $314.94	Professional	26	$85.25	$135.83	$314.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.25 / $738.29 / $3,193.76	Professional		$324.25	$738.29	$3,193.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $326.57 / $718.15 / $1,056.54	Professional		$326.57	$718.15	$1,056.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $528.40 / $659.90	Professional		$3.00	$528.40	$659.90
United Facility/Professional Professional Modifier Low / Median / High Price $362.67 / $552.64 / $1,124.38	Professional		$362.67	$552.64	$1,124.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $599.22 / $758.50 / $892.40	Professional		$599.22	$758.50	$892.40