Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $112.56 / $293.00	Professional		$42.71	$112.56	$293.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $105.41 / $141.87	Professional		$70.12	$105.41	$141.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $68.48 / $273.83	Professional		$41.69	$68.48	$273.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $105.13 / $980.40	Professional		$55.85	$105.13	$980.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $106.81 / $137.80	Professional		$78.84	$106.81	$137.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $55.30 / $55.30	Professional		$55.30	$55.30	$55.30
United Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $98.38 / $130.88	Professional		$50.17	$98.38	$130.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $92.10 / $108.30	Professional		$72.76	$92.10	$108.30