Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $64.06 / $77.05	Professional		$46.99	$64.06	$77.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $116.46 / $149.00	Professional		$94.61	$116.46	$149.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $77.11 / $222.37	Professional		$55.38	$77.11	$222.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $119.09 / $318.24	Professional		$66.33	$119.09	$318.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $116.44 / $150.65	Professional		$94.18	$116.44	$150.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $72.45 / $101.23	Professional		$42.58	$72.45	$101.23
United Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $112.09 / $160.19	Professional		$59.05	$112.09	$160.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $90.70 / $111.60	Professional		$77.09	$90.70	$111.60