Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $194.98	Professional		$44.67	$77.62	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $239.88	Professional		$89.13	$144.54	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $190.55	Professional		$47.86	$97.72	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $467.74	Professional		$77.62	$147.91	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $208.93	Professional		$112.20	$138.04	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $208.93	Professional		$93.33	$147.91	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $173.78	Professional		$46.77	$89.13	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $186.21	Professional		$52.48	$91.20	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $186.21	Professional		$97.72	$114.82	$186.21