Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $62.44 / $66.47	Professional		$46.11	$62.44	$66.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $115.89 / $152.90	Professional		$93.15	$115.89	$152.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $76.70 / $121.81	Professional		$54.91	$76.70	$121.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $129.30 / $312.32	Professional		$74.30	$129.30	$312.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $117.30 / $151.16	Professional		$93.15	$117.30	$151.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $137.69 / $137.69	Professional		$137.69	$137.69	$137.69
United Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $98.99 / $181.06	Professional		$66.73	$98.99	$181.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $94.90 / $122.40	Professional		$80.70	$94.90	$122.40