Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $334.57 / $1,411.48	Professional		$216.45	$334.57	$1,411.48
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 / $1,052.58	Professional		$196.98	$198.94	$1,052.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.46 / $340.89 / $695.54	Professional		$248.46	$340.89	$695.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $403.86 / $629.32	Professional		$291.39	$403.86	$629.32
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 $238.45 / $310.51 / $486.31	Professional		$238.45	$310.51	$486.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $325.24 / $411.70 / $484.30	Professional		$325.24	$411.70	$484.30