Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $132.13 / $581.41	Professional		$101.15	$132.13	$581.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.94 / $247.75 / $307.44	Professional		$184.94	$247.75	$307.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $152.87 / $371.85	Professional		$98.65	$152.87	$371.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $246.35 / $695.50	Professional		$140.13	$246.35	$695.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $226.78 / $288.24	Professional		$142.00	$226.78	$288.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $134.40 / $254.60	Professional		$134.40	$134.40	$254.60
United Facility/Professional Professional Modifier Low / Median / High Price $122.05 / $214.66 / $293.87	Professional		$122.05	$214.66	$293.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $211.50 / $248.80	Professional		$167.09	$211.50	$248.80