Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $186.00 / $334.86	Professional		$112.37	$186.00	$334.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $339.88 / $542.85	Professional		$236.48	$339.88	$542.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $243.93 / $330.05	Professional		$110.35	$243.93	$330.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.34 / $351.35 / $1,474.32	Professional		$196.34	$351.35	$1,474.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.56 / $299.27 / $505.44	Professional		$214.56	$299.27	$505.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $261.30 / $541.10	Professional		$3.00	$261.30	$541.10
United Facility/Professional Professional Modifier Low / Median / High Price $179.98 / $324.77 / $532.63	Professional		$179.98	$324.77	$532.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $270.70 / $436.10	Professional		$230.10	$270.70	$436.10