Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $190.55	Professional		$42.66	$72.44	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $223.87	Professional		$109.65	$138.04	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $194.98	Professional		$61.66	$109.65	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $354.81	Professional		$77.62	$125.89	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $208.93	Professional		$109.65	$125.89	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $204.17	Professional		$93.33	$128.82	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $120.23 / $204.17	Professional		$3.02	$120.23	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $173.78	Professional		$54.95	$91.20	$173.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $173.78	Professional		$91.20	$107.15	$173.78