Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $120.23 / $302.00	Professional		$38.02	$120.23	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $645.65	Professional		$371.54	$512.86	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $1,412.54	Professional		$218.78	$309.03	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $1,202.26	Professional		$40.74	$66.07	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $616.60	Professional		$371.54	$537.03	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $524.81	Professional		$223.87	$398.11	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $109.65	Professional		$38.90	$57.54	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $549.54	Professional		$371.54	$467.74	$549.54