Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $82.21 / $232.02	Professional		$35.83	$82.21	$232.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $87.53 / $138.11	Professional		$74.31	$87.53	$138.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $55.56 / $154.55	Professional		$33.67	$55.56	$154.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $80.81 / $457.76	Professional		$34.01	$80.81	$457.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $77.48 / $114.12	Professional		$56.54	$77.48	$114.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $61.10 / $75.34	Professional		$34.22	$61.10	$75.34
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $64.93 / $89.67	Professional		$32.47	$64.93	$89.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $76.70 / $90.30	Professional		$60.59	$76.70	$90.30