Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $56.35 / $299.25	Professional		$44.86	$56.35	$299.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $112.36 / $140.44	Professional		$54.07	$112.36	$140.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $75.95 / $136.19	Professional		$51.65	$75.95	$136.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $105.88 / $348.21	Professional		$57.50	$105.88	$348.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $107.67 / $140.25	Professional		$66.59	$107.67	$140.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $91.93 / $109.62	Professional		$51.50	$91.93	$109.62
United Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $84.70 / $140.11	Professional		$57.62	$84.70	$140.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $105.90 / $124.60	Professional		$83.66	$105.90	$124.60