Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $49.90 / $72.20	Professional		$46.55	$49.90	$72.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $87.14 / $135.83	Professional		$42.80	$87.14	$135.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $55.04 / $83.16	Professional		$41.94	$55.04	$83.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $62.65 / $136.12	Professional		$42.12	$62.65	$136.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $105.35 / $135.83	Professional		$57.65	$105.35	$135.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $94.85 / $113.12	Professional		$53.14	$94.85	$113.12
United Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $58.90 / $101.54	Professional		$39.69	$58.90	$101.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $101.00 / $105.00	Professional		$79.79	$101.00	$105.00