Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.05 / $218.19 / $1,018.21	Professional		$130.05	$218.19	$1,018.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $217.50 / $348.22	Professional		$174.00	$217.50	$348.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $135.26 / $340.65	Professional		$133.93	$135.26	$340.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $245.88 / $452.76	Professional		$156.94	$245.88	$452.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $267.11 / $462.10	Professional		$190.04	$267.11	$462.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.08 / $241.14 / $293.12	Professional		$134.08	$241.14	$293.12
United Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $223.98 / $350.76	Professional		$161.47	$223.98	$350.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.04 / $279.80 / $329.10	Professional		$221.04	$279.80	$329.10