Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.68 / $336.48 / $1,411.48	Professional		$200.68	$336.48	$1,411.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $322.50 / $515.22	Professional		$258.00	$322.50	$515.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $200.13 / $874.88	Professional		$198.16	$200.13	$874.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.29 / $340.42 / $695.54	Professional		$247.29	$340.42	$695.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.07 / $405.55 / $632.91	Professional		$293.07	$405.55	$632.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $357.18 / $434.20	Professional		$198.54	$357.18	$434.20
United Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $310.51 / $486.31	Professional		$111.45	$310.51	$486.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $327.14 / $414.10 / $487.20	Professional		$327.14	$414.10	$487.20