Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $83.64 / $136.63	Professional		$46.92	$83.64	$136.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $200.63 / $264.89	Professional		$105.96	$200.63	$264.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $126.81 / $207.97	Professional		$44.93	$126.81	$207.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $190.45 / $1,193.03	Professional		$98.09	$190.45	$1,193.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $147.41 / $245.89	Professional		$99.18	$147.41	$245.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $157.69 / $247.60	Professional		$6.00	$157.69	$247.60
United Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $172.95 / $265.27	Professional		$93.71	$172.95	$265.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $105.10 / $201.50	Professional		$89.40	$105.10	$201.50