Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $84.79 / $123.30	Professional		$74.09	$84.79	$123.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $148.80 / $217.44	Professional		$62.93	$148.80	$217.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $85.70 / $193.08	Professional		$60.29	$85.70	$193.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $143.03 / $286.82	Professional		$86.72	$143.03	$286.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $182.53 / $219.73	Professional		$115.28	$182.53	$219.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $116.22 / $160.59	Professional		$65.11	$116.22	$160.59
United Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $124.29 / $222.67	Professional		$82.92	$124.29	$222.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $134.50 / $157.50	Professional		$107.00	$134.50	$157.50