Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.54 / $158.54 / $1,301.52	Professional		$158.54	$158.54	$1,301.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.11 / $426.64 / $533.29	Professional		$387.11	$426.64	$533.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $245.73 / $429.33	Professional		$157.59	$245.73	$429.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.65 / $277.22 / $659.20	Professional		$181.65	$277.22	$659.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $397.54 / $529.13	Professional		$324.00	$397.54	$529.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $168.48 / $584.92	Professional		$37.06	$168.48	$584.92
United Facility/Professional Professional Modifier Low / Median / High Price $181.65 / $204.91 / $364.51	Professional		$181.65	$204.91	$364.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.37 / $310.60 / $365.40	Professional		$245.37	$310.60	$365.40