Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $47.18 / $68.80	Professional		$42.25	$47.18	$68.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $127.21 / $159.02	Professional		$48.81	$127.21	$159.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $70.81 / $118.23	Professional		$47.14	$70.81	$118.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $81.00 / $351.86	Professional		$51.45	$81.00	$351.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $108.35 / $146.26	Professional		$73.29	$108.35	$146.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $146.40	Professional		$73.09	$73.09	$146.40
United Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $65.61 / $110.36	Professional		$51.45	$65.61	$110.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $93.10 / $109.50	Professional		$73.55	$93.10	$109.50