Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $203.40 / $203.40	Professional		$113.87	$203.40	$203.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.92 / $317.73 / $343.78	Professional		$264.92	$317.73	$343.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $188.13 / $341.48	Professional		$112.31	$188.13	$341.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $301.00 / $1,156.83	Professional		$157.94	$301.00	$1,156.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $286.64 / $373.34	Professional		$199.00	$286.64	$373.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $226.30 / $304.60	Professional		$189.40	$226.30	$304.60
United Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $252.63 / $387.48	Professional		$136.88	$252.63	$387.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $229.50 / $270.00	Professional		$229.50	$229.50	$270.00