Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $147.91	Professional		$52.48	$83.18	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $120.23 / $204.17	Professional		$44.67	$120.23	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $120.23	Professional		$61.66	$79.43	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $208.93	Professional		$45.71	$91.20	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $213.80	Professional		$67.61	$144.54	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $186.21	Professional		$79.43	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $151.36	Professional		$48.98	$87.10	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $165.96	Professional		$120.23	$151.36	$165.96