Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.30 / $190.04	Professional		$35.76	$48.30	$190.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $89.70 / $126.60	Professional		$40.08	$89.70	$126.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $60.48 / $269.49	Professional		$37.65	$60.48	$269.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $67.30 / $325.73	Professional		$36.86	$67.30	$325.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $78.23 / $104.49	Professional		$51.66	$78.23	$104.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $66.20 / $105.10	Professional		$52.40	$66.20	$105.10
United Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $51.30 / $104.36	Professional		$35.27	$51.30	$104.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $86.10 / $101.30	Professional		$68.02	$86.10	$101.30