Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.81 / $232.95 / $385.48	Professional		$194.81	$232.95	$385.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $479.84 / $623.47	Professional		$301.00	$479.84	$623.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $290.37 / $1,109.33	Professional		$196.38	$290.37	$1,109.33
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.38 / $152.69 / $496.55	Professional	26	$95.38	$152.69	$496.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $496.36 / $1,539.23	Professional		$260.00	$496.36	$1,539.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.48 / $454.02 / $623.47	Professional		$288.48	$454.02	$623.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $201.44 / $399.84	Professional		$104.60	$201.44	$399.84
United Facility/Professional Professional Modifier Low / Median / High Price $251.40 / $463.99 / $642.90	Professional		$251.40	$463.99	$642.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $350.05 / $443.10 / $521.20	Professional		$350.05	$443.10	$521.20