Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $688.16 / $1,147.29	Professional		$152.08	$688.16	$1,147.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.12 / $340.31 / $500.68	Professional		$266.12	$340.31	$500.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $181.65 / $1,749.77	Professional		$116.32	$181.65	$1,749.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $329.85 / $1,308.32	Professional		$167.96	$329.85	$1,308.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $338.37 / $471.10	Professional		$206.27	$338.37	$471.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $215.88 / $252.72	Professional		$121.10	$215.88	$252.72
United Facility/Professional Professional Modifier Low / Median / High Price $160.32 / $278.94 / $433.64	Professional		$160.32	$278.94	$433.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $273.60 / $321.80	Professional		$216.14	$273.60	$321.80