Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $156.29 / $186.15	Professional		$93.23	$156.29	$186.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $267.86 / $341.23	Professional		$166.00	$267.86	$341.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $160.72 / $331.40	Professional		$106.56	$160.72	$331.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $275.89 / $880.77	Professional		$139.02	$275.89	$880.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $253.51 / $341.23	Professional		$152.00	$253.51	$341.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $110.09 / $216.70	Professional		$57.50	$110.09	$216.70
United Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $237.64 / $339.96	Professional		$128.50	$237.64	$339.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.76 / $240.20 / $282.60	Professional		$189.76	$240.20	$282.60