Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $81.90 / $240.00	Professional		$60.09	$81.90	$240.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $109.90 / $153.25	Professional		$81.04	$109.90	$153.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $131.84 / $241.61	Professional		$105.15	$131.84	$241.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $87.28 / $241.03	Professional		$66.06	$87.28	$241.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $151.47 / $214.73	Professional		$102.70	$151.47	$214.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $131.88 / $182.91	Professional		$96.48	$131.88	$182.91
United Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $87.28 / $136.53	Professional		$65.36	$87.28	$136.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $129.50 / $152.40	Professional		$129.50	$129.50	$152.40