Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $173.25 / $305.61	Professional		$42.29	$173.25	$305.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.85 / $532.66 / $625.96	Professional		$368.85	$532.66	$625.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.24 / $295.75 / $1,408.22	Professional		$227.24	$295.75	$1,408.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $77.19 / $1,201.97	Professional		$40.78	$77.19	$1,201.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $515.28 / $621.79	Professional		$121.76	$515.28	$621.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $206.58 / $368.75 / $449.27	Professional		$206.58	$368.75	$449.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $56.21 / $106.41	Professional		$39.34	$56.21	$106.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $369.01 / $467.10 / $549.50	Professional		$369.01	$467.10	$549.50