Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $117.38 / $558.26	Professional		$94.17	$117.38	$558.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $206.58 / $281.92	Professional		$96.70	$206.58	$281.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $142.32 / $373.88	Professional		$83.57	$142.32	$373.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $187.92 / $3,176.85	Professional		$104.40	$187.92	$3,176.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.02 / $206.73 / $263.02	Professional		$126.02	$206.73	$263.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $155.97 / $193.88	Professional		$87.38	$155.97	$193.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $154.91 / $269.93	Professional		$104.40	$154.91	$269.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $184.10 / $216.60	Professional		$145.44	$184.10	$216.60