Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $139.82 / $581.80	Professional		$92.52	$139.82	$581.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $213.14 / $290.45	Professional		$96.72	$213.14	$290.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $144.18 / $381.64	Professional		$84.40	$144.18	$381.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $201.32 / $671.69	Professional		$109.18	$201.32	$671.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $216.09 / $273.51	Professional		$173.66	$216.09	$273.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $153.16 / $194.03	Professional		$85.81	$153.16	$194.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $137.59 / $231.25	Professional		$107.44	$137.59	$231.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $180.30 / $212.10	Professional		$142.44	$180.30	$212.10