Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $253.31 / $1,055.01	Professional		$163.85	$253.31	$1,055.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $245.16 / $391.61	Professional		$196.13	$245.16	$391.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $152.12 / $751.85	Professional		$150.62	$152.12	$751.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.86 / $255.93 / $573.23	Professional		$186.86	$255.93	$573.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $220.63 / $303.79 / $476.80	Professional		$220.63	$303.79	$476.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $271.86 / $330.48	Professional		$151.05	$271.86	$330.48
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $232.08 / $363.45	Professional		$182.45	$232.08	$363.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $314.89 / $370.50	Professional		$248.77	$314.89	$370.50