Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.35 / $182.93 / $920.70	Professional		$144.35	$182.93	$920.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $314.75 / $451.37	Professional		$147.53	$314.75	$451.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $217.60 / $563.20	Professional		$127.29	$217.60	$563.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $313.11 / $2,295.00	Professional		$171.71	$313.11	$2,295.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $220.31 / $332.69 / $424.81	Professional		$220.31	$332.69	$424.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $232.21 / $292.19	Professional		$130.09	$232.21	$292.19
United Facility/Professional Professional Modifier Low / Median / High Price $164.91 / $242.24 / $363.71	Professional		$164.91	$242.24	$363.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.15 / $281.20 / $330.80	Professional		$222.15	$281.20	$330.80