Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $189.56 / $236.50	Professional		$132.36	$189.56	$236.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.28 / $325.27 / $412.92	Professional		$253.28	$325.27	$412.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $207.11 / $379.99	Professional		$107.12	$207.11	$379.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.90 / $314.60 / $1,418.00	Professional		$181.90	$314.60	$1,418.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $220.03 / $300.67 / $383.12	Professional		$220.03	$300.67	$383.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $247.00 / $361.90	Professional		$3.00	$247.00	$361.90
United Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $279.93 / $442.36	Professional		$156.27	$279.93	$442.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $258.10 / $323.39	Professional		$219.40	$258.10	$323.39