Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $77.89 / $122.97	Professional		$47.95	$77.89	$122.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $142.19 / $235.68	Professional		$101.29	$142.19	$235.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $109.12 / $184.85	Professional		$49.53	$109.12	$184.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $148.85 / $583.97	Professional		$82.61	$148.85	$583.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $146.62 / $201.26	Professional		$98.80	$146.62	$201.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $86.48 / $149.57	Professional		$48.00	$86.48	$149.57
United Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $115.31 / $214.54	Professional		$75.67	$115.31	$214.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $114.00 / $185.00	Professional		$96.90	$114.00	$185.00