Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $210.31 / $295.91	Professional		$157.35	$210.31	$295.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $378.26 / $485.54	Professional		$270.00	$378.26	$485.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.11 / $240.98 / $476.10	Professional		$167.11	$240.98	$476.10
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $135.05 / $202.39 / $373.20	Professional	26	$135.05	$202.39	$373.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.75 / $434.07 / $1,346.60	Professional		$211.75	$434.07	$1,346.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $384.81 / $488.34	Professional		$241.46	$384.81	$488.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $184.74 / $359.69	Professional		$57.21	$184.74	$359.69
United Facility/Professional Professional Modifier Low / Median / High Price $211.75 / $384.23 / $517.83	Professional		$211.75	$384.23	$517.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $365.70 / $430.20	Professional		$288.89	$365.70	$430.20