Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $119.15 / $575.48	Professional		$66.88	$119.15	$575.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $144.52 / $186.15	Professional		$66.53	$144.52	$186.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $92.52 / $200.34	Professional		$60.54	$92.52	$200.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $141.13 / $484.75	Professional		$78.41	$141.13	$484.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $148.13 / $186.15	Professional		$103.12	$148.13	$186.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $110.10 / $134.36	Professional		$61.68	$110.10	$134.36
United Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $98.49 / $168.93	Professional		$72.95	$98.49	$168.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $129.19 / $152.00	Professional		$102.07	$129.19	$152.00