Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $65.15 / $73.58	Professional		$51.18	$65.15	$73.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $80.11 / $146.43	Professional		$56.24	$80.11	$146.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $57.22 / $109.47	Professional		$55.43	$57.22	$109.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $65.50 / $148.35	Professional		$49.78	$65.50	$148.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $91.70 / $151.37	Professional		$68.00	$91.70	$151.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $103.32 / $118.54	Professional		$57.88	$103.32	$118.54
United Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $62.88 / $120.00	Professional		$49.78	$62.88	$120.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $121.30 / $142.69	Professional		$121.30	$121.30	$142.69