Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $175.25 / $1,095.80	Professional		$172.89	$175.25	$1,095.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.93 / $413.41 / $496.45	Professional		$362.93	$413.41	$496.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $257.25 / $625.29	Professional		$153.71	$257.25	$625.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.24 / $298.58 / $1,039.04	Professional		$192.24	$298.58	$1,039.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $319.64 / $400.23 / $556.37	Professional		$319.64	$400.23	$556.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $148.34 / $278.30	Professional		$72.88	$148.34	$278.30
United Facility/Professional Professional Modifier Low / Median / High Price $182.07 / $219.15 / $373.50	Professional		$182.07	$219.15	$373.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $230.05 / $291.20 / $342.60	Professional		$230.05	$291.20	$342.60