Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $127.26 / $200.30	Professional		$62.55	$127.26	$200.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $237.81 / $396.93	Professional		$87.44	$237.81	$396.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $193.25 / $374.93	Professional		$60.44	$193.25	$374.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $317.56 / $929.00	Professional		$161.41	$317.56	$929.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $254.00 / $365.73	Professional		$131.85	$254.00	$365.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $135.88 / $271.66	Professional		$60.28	$135.88	$271.66
United Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $230.40 / $383.06	Professional		$154.91	$230.40	$383.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $110.60 / $135.40 / $301.00	Professional		$110.60	$135.40	$301.00