Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.53 / $660.44 / $1,323.00	Professional		$209.53	$660.44	$1,323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.88 / $321.08 / $512.92	Professional		$256.88	$321.08	$512.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $199.24 / $874.88	Professional		$197.28	$199.24	$874.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.12 / $339.98 / $655.37	Professional		$238.12	$339.98	$655.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.23 / $404.99 / $631.72	Professional		$292.23	$404.99	$631.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $355.59 / $432.27	Professional		$197.66	$355.59	$432.27
United Facility/Professional Professional Modifier Low / Median / High Price $238.12 / $310.08 / $485.63	Professional		$238.12	$310.08	$485.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $325.72 / $412.30 / $485.00	Professional		$325.72	$412.30	$485.00