Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.35 / $319.52 / $1,130.00	Professional		$160.35	$319.52	$1,130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.71 / $399.90 / $567.67	Professional		$184.71	$399.90	$567.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $234.56 / $439.55	Professional		$83.48	$234.56	$439.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $462.02 / $862.34	Professional		$257.60	$462.02	$862.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $237.08 / $374.32 / $591.57	Professional		$237.08	$374.32	$591.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $167.23 / $332.08	Professional		$77.76	$167.23	$332.08
United Facility/Professional Professional Modifier Low / Median / High Price $236.75 / $359.80 / $621.41	Professional		$236.75	$359.80	$621.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $163.80 / $332.90	Professional		$139.19	$163.80	$332.90