Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $89.13	Professional		$45.71	$67.61	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $109.65 / $169.82	Professional		$18.20	$109.65	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $66.07 / $95.50	Professional		$27.54	$66.07	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $81.28 / $177.83	Professional		$38.90	$81.28	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $123.03 / $194.98	Professional		$41.69	$123.03	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $158.49	Professional		$67.61	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $134.90	Professional		$43.65	$75.86	$134.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $138.04	Professional		$100.00	$125.89	$138.04