Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $222.23 / $321.26	Professional		$47.63	$222.23	$321.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.73 / $555.86 / $652.38	Professional		$387.73	$555.86	$652.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $235.69 / $306.70 / $1,199.58	Professional		$235.69	$306.70	$1,199.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $77.19 / $1,246.66	Professional		$40.78	$77.19	$1,246.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $540.65 / $774.54	Professional		$126.08	$540.65	$774.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.26 / $382.45 / $464.56	Professional		$214.26	$382.45	$464.56
United Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $59.29 / $106.12	Professional		$39.34	$59.29	$106.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.68 / $484.40 / $569.90	Professional		$382.68	$484.40	$569.90