Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $282.93 / $397.19	Professional		$243.00	$282.93	$397.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.99 / $658.92 / $827.80	Professional		$310.99	$658.92	$827.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $431.04 / $930.42	Professional		$287.64	$431.04	$930.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $413.81 / $704.28 / $1,820.60	Professional		$413.81	$704.28	$1,820.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $563.22 / $675.32 / $767.53	Professional		$563.22	$675.32	$767.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.95 / $466.78 / $565.12	Professional		$266.95	$466.78	$565.12
United Facility/Professional Professional Modifier Low / Median / High Price $334.27 / $540.65 / $790.62	Professional		$334.27	$540.65	$790.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $461.20 / $583.79 / $686.90	Professional		$461.20	$583.79	$686.90