Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $851.14	Professional		$131.83	$194.98	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $501.19	Professional		$302.00	$371.54	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $2,041.74	Professional		$120.23	$186.21	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $1,318.26	Professional		$169.82	$323.59	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $812.83	Professional		$389.05	$389.05	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $295.12	Professional		$125.89	$223.87	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $446.68	Professional		$158.49	$257.04	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $323.59	Professional		$213.80	$275.42	$323.59