Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $78.16 / $136.63	Professional		$65.18	$78.16	$136.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $183.71 / $301.50	Professional		$98.89	$183.71	$301.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $113.96 / $364.07	Professional		$62.96	$113.96	$364.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $171.03 / $821.86	Professional		$89.75	$171.03	$821.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $167.06 / $266.02	Professional		$113.69	$167.06	$266.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $93.90 / $328.70	Professional		$93.90	$93.90	$328.70
United Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $156.19 / $351.63	Professional		$79.40	$156.19	$351.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $130.00 / $153.00	Professional		$102.70	$130.00	$153.00