Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $235.44 / $401.69	Professional		$136.53	$235.44	$401.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.60 / $448.25 / $667.10	Professional		$316.60	$448.25	$667.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $315.32 / $557.80	Professional		$129.72	$315.32	$557.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $500.00 / $1,727.36	Professional		$258.83	$500.00	$1,727.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $280.38 / $433.07 / $637.73	Professional		$280.38	$433.07	$637.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $456.90 / $639.00	Professional		$5.00	$456.90	$639.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $466.67 / $702.17	Professional		$248.06	$466.67	$702.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.20 / $322.60 / $509.50	Professional		$274.20	$322.60	$509.50