Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $134.36 / $134.36	Professional		$92.91	$134.36	$134.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $212.16 / $265.20	Professional		$131.13	$212.16	$265.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $112.47 / $172.75	Professional		$74.48	$112.47	$172.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $146.37 / $345.62	Professional		$89.24	$146.37	$345.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $178.39 / $240.60	Professional		$99.00	$178.39	$240.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $158.13 / $180.91	Professional		$88.59	$158.13	$180.91
United Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $146.37 / $242.11	Professional		$89.20	$146.37	$242.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $149.19 / $175.60	Professional		$117.87	$149.19	$175.60