Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $83.81 / $109.19	Professional		$44.64	$83.81	$109.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $136.10 / $181.14	Professional		$55.65	$136.10	$181.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $75.65 / $165.07	Professional		$45.62	$75.65	$165.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $125.67 / $556.00	Professional		$72.30	$125.67	$556.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $128.16 / $184.29	Professional		$95.32	$128.16	$184.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $70.63 / $111.97	Professional		$44.03	$70.63	$111.97
United Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $96.40 / $182.23	Professional		$66.28	$96.40	$182.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $106.10 / $138.69	Professional		$90.20	$106.10	$138.69