Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.16 / $84.55	Professional		$31.62	$52.16	$84.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $97.39 / $161.66	Professional		$68.31	$97.39	$161.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $75.67 / $134.81	Professional		$34.52	$75.67	$134.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $99.85 / $374.09	Professional		$55.73	$99.85	$374.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $97.55 / $138.43	Professional		$67.53	$97.55	$138.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $60.24 / $103.90	Professional		$33.53	$60.24	$103.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $77.95 / $145.19	Professional		$51.16	$77.95	$145.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $79.30 / $127.60	Professional		$67.40	$79.30	$127.60