Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $120.34 / $675.00	Professional		$59.15	$120.34	$675.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $136.46 / $186.53	Professional		$61.89	$136.46	$186.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $91.62 / $212.23	Professional		$53.90	$91.62	$212.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $127.29 / $446.74	Professional		$68.95	$127.29	$446.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $141.93 / $164.54	Professional		$98.40	$141.93	$164.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $98.96 / $122.93	Professional		$60.90	$98.96	$122.93
United Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $95.90 / $152.28	Professional		$68.45	$95.90	$152.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $114.70 / $135.00	Professional		$90.61	$114.70	$135.00