Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $244.71 / $354.08	Professional		$82.29	$244.71	$354.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $612.71 / $721.28	Professional		$427.35	$612.71	$721.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.76 / $333.44 / $816.44	Professional		$261.76	$333.44	$816.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $153.85 / $1,373.71	Professional		$79.76	$153.85	$1,373.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.36 / $597.15 / $721.28	Professional		$241.36	$597.15	$721.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.37 / $390.58 / $485.76	Professional		$234.37	$390.58	$485.76
United Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $115.21 / $208.06	Professional		$76.92	$115.21	$208.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $423.28 / $535.79 / $630.40	Professional		$423.28	$535.79	$630.40