Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $36.82 / $272.26	Professional		$36.82	$36.82	$272.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $95.41 / $119.26	Professional		$88.24	$95.41	$119.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $68.29 / $349.77	Professional		$37.19	$68.29	$349.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $88.24 / $979.71	Professional		$44.11	$88.24	$979.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $100.04 / $522.00	Professional		$79.50	$100.04	$522.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $35.95 / $70.84	Professional		$18.19	$35.95	$70.84
United Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $53.94 / $187.19	Professional		$41.42	$53.94	$187.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $70.80 / $83.30	Professional		$55.93	$70.80	$83.30