Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.39 / $339.35 / $1,428.96	Professional		$202.39	$339.35	$1,428.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $320.63 / $512.15	Professional		$256.50	$320.63	$512.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.98 / $198.94 / $950.95	Professional		$196.98	$198.94	$950.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.69 / $362.10 / $655.37	Professional		$238.69	$362.10	$655.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.57 / $413.20 / $638.92	Professional		$295.57	$413.20	$638.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $355.07 / $431.63	Professional		$197.36	$355.07	$431.63
United Facility/Professional Professional Modifier Low / Median / High Price $240.47 / $314.35 / $492.30	Professional		$240.47	$314.35	$492.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $325.24 / $411.70 / $484.30	Professional		$325.24	$411.70	$484.30