Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $75.58 / $109.32	Professional		$61.03	$75.58	$109.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $123.59 / $206.75	Professional		$57.38	$123.59	$206.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $77.54 / $119.15	Professional		$53.59	$77.54	$119.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $93.39 / $183.36	Professional		$52.30	$93.39	$183.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $136.08 / $206.75	Professional		$67.00	$136.08	$206.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $141.53 / $162.44	Professional		$79.29	$141.53	$162.44
United Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $91.68 / $154.24	Professional		$52.30	$91.68	$154.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $152.10 / $158.10	Professional		$120.16	$152.10	$158.10