Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $178.02 / $270.38	Professional		$115.62	$178.02	$270.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.67 / $302.10 / $423.64	Professional		$239.67	$302.10	$423.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $191.28 / $276.80	Professional		$98.08	$191.28	$276.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $302.10 / $1,082.32	Professional		$159.21	$302.10	$1,082.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.21 / $266.60 / $382.27	Professional		$202.21	$266.60	$382.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $245.30 / $373.90	Professional		$3.00	$245.30	$373.90
United Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $262.51 / $414.82	Professional		$146.54	$262.51	$414.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.20 / $242.50 / $325.60	Professional		$206.20	$242.50	$325.60