Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.82 / $134.44	Professional		$31.58	$45.82	$134.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $85.49 / $169.44	Professional		$59.44	$85.49	$169.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $44.04 / $201.90	Professional		$28.02	$44.04	$201.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $115.00 / $350.32	Professional		$74.84	$115.00	$350.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $108.52 / $137.03	Professional		$77.79	$108.52	$137.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $31.59 / $58.99	Professional		$2.96	$31.59	$58.99
United Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $104.22 / $149.69	Professional		$57.39	$104.22	$149.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $65.40 / $76.90	Professional		$51.67	$65.40	$76.90