Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $143.16 / $168.03	Professional		$143.16	$143.16	$168.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $96.96 / $121.20	Professional		$96.96	$96.96	$121.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $59.70 / $128.41	Professional		$34.90	$59.70	$128.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $46.62 / $242.46	Professional		$24.65	$46.62	$242.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $76.90 / $121.00	Professional		$40.86	$76.90	$121.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $65.05 / $81.31	Professional		$36.44	$65.05	$81.31
United Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $31.40 / $85.12	Professional		$24.65	$31.40	$85.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $75.80 / $89.20	Professional		$59.88	$75.80	$89.20