Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $178.92 / $336.49	Professional		$134.77	$178.92	$336.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.62 / $397.53 / $541.65	Professional		$286.62	$397.53	$541.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $246.90 / $375.46	Professional		$134.38	$246.90	$375.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.15 / $394.76 / $1,485.12	Professional		$199.15	$394.76	$1,485.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $258.85 / $356.58 / $507.98	Professional		$258.85	$356.58	$507.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $266.80 / $537.00	Professional		$3.00	$266.80	$537.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $330.02 / $536.51	Professional		$189.53	$330.02	$536.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $330.10 / $440.60	Professional		$280.50	$330.10	$440.60