Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $254.27 / $1,062.78	Professional		$151.78	$254.27	$1,062.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.63 / $243.28 / $388.52	Professional		$194.63	$243.28	$388.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.43 / $150.91 / $820.20	Professional		$149.43	$150.91	$820.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.53 / $256.83 / $545.83	Professional		$179.53	$256.83	$545.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.47 / $305.42 / $479.20	Professional		$221.47	$305.42	$479.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.87 / $269.73 / $327.89	Professional		$149.87	$269.73	$327.89
United Facility/Professional Professional Modifier Low / Median / High Price $179.53 / $233.78 / $366.12	Professional		$179.53	$233.78	$366.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.80 / $312.39 / $367.60	Professional		$246.80	$312.39	$367.60