Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $58.31 / $82.89	Professional		$45.45	$58.31	$82.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $115.40 / $166.25	Professional		$57.18	$115.40	$166.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $58.10 / $102.74	Professional		$43.07	$58.10	$102.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $148.37 / $374.37	Professional		$78.19	$148.37	$374.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $118.89 / $153.00	Professional		$111.83	$118.89	$153.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $83.32 / $102.37	Professional		$46.69	$83.32	$102.37
United Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $111.23 / $162.66	Professional		$68.77	$111.23	$162.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $89.80 / $105.60	Professional		$81.09	$89.80	$105.60