Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $56.82 / $77.66	Professional		$42.61	$56.82	$77.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $92.82 / $130.90	Professional		$50.71	$92.82	$130.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $59.09 / $151.32	Professional		$42.68	$59.09	$151.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $80.88 / $348.77	Professional		$56.00	$80.88	$348.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $91.07 / $130.90	Professional		$74.92	$91.07	$130.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $60.50 / $150.10	Professional		$60.50	$60.50	$150.10
United Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $70.92 / $119.54	Professional		$55.16	$70.92	$119.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $59.20 / $69.70	Professional		$46.77	$59.20	$69.70