Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.56 / $340.07 / $1,446.39	Professional		$202.56	$340.07	$1,446.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.50 / $313.13 / $501.02	Professional		$250.50	$313.13	$501.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.70 / $194.61 / $600.11	Professional		$192.70	$194.61	$600.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.34 / $366.51 / $640.27	Professional		$244.34	$366.51	$640.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.19 / $416.64 / $640.27	Professional		$296.19	$416.64	$640.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.79 / $346.61 / $421.33	Professional		$192.79	$346.61	$421.33
United Facility/Professional Professional Modifier Low / Median / High Price $229.15 / $318.18 / $471.58	Professional		$229.15	$318.18	$471.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $317.89 / $402.40 / $473.40	Professional		$317.89	$402.40	$473.40