Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $144.69 / $1,174.38	Professional		$144.69	$144.69	$1,174.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.71 / $378.54 / $473.18	Professional		$343.71	$378.54	$473.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $264.58 / $478.39	Professional		$140.99	$264.58	$478.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $269.97 / $883.87	Professional		$175.83	$269.97	$883.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.39 / $399.45 / $510.26	Professional		$309.39	$399.45	$510.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $150.38 / $584.92	Professional		$44.62	$150.38	$584.92
United Facility/Professional Professional Modifier Low / Median / High Price $166.54 / $199.85 / $341.62	Professional		$166.54	$199.85	$341.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $217.88 / $275.80 / $324.39	Professional		$217.88	$275.80	$324.39