Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.57 / $276.73 / $1,084.94	Professional		$165.57	$276.73	$1,084.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.66 / $414.30 / $574.80	Professional		$260.66	$414.30	$574.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $232.41 / $779.76	Professional		$151.36	$232.41	$779.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.23 / $407.03 / $1,722.48	Professional		$204.23	$407.03	$1,722.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $407.31 / $574.80	Professional		$296.39	$407.31	$574.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $231.05 / $300.11	Professional		$133.21	$231.05	$300.11
United Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $328.47 / $527.27	Professional		$194.94	$328.47	$527.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.23 / $337.00 / $396.40	Professional		$266.23	$337.00	$396.40