Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $183.78 / $770.21	Professional		$109.58	$183.78	$770.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $175.31 / $280.64	Professional		$140.25	$175.31	$280.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $109.01 / $615.15	Professional		$107.94	$109.01	$615.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $186.06 / $454.54	Professional		$136.46	$186.06	$454.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.06 / $220.63 / $345.88	Professional		$160.06	$220.63	$345.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $194.49 / $236.42	Professional		$108.12	$194.49	$236.42
United Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $156.12 / $265.31	Professional		$130.10	$156.12	$265.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $178.15 / $225.50 / $265.39	Professional		$178.15	$225.50	$265.39