Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $139.12 / $761.44	Professional		$113.34	$139.12	$761.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.78 / $291.39 / $452.79	Professional		$215.78	$291.39	$452.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.63 / $178.05 / $1,180.92	Professional		$114.63	$178.05	$1,180.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.31 / $318.23 / $1,760.08	Professional		$145.31	$318.23	$1,760.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.49 / $316.29 / $410.72	Professional		$234.49	$316.29	$410.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $115.73 / $227.49	Professional		$36.71	$115.73	$227.49
United Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $253.54 / $388.49	Professional		$138.71	$253.54	$388.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $201.92 / $255.60 / $300.70	Professional		$201.92	$255.60	$300.70