Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $110.49 / $315.93	Professional		$71.52	$110.49	$315.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $144.30 / $278.00	Professional		$88.98	$144.30	$278.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $158.76 / $514.00	Professional		$84.87	$158.76	$514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $145.06 / $989.06	Professional		$69.33	$145.06	$989.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $145.08 / $278.00	Professional		$109.24	$145.08	$278.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $170.77 / $209.70	Professional		$95.71	$170.77	$209.70
United Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $123.33 / $232.41	Professional		$59.01	$123.33	$232.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $110.60 / $140.00 / $164.70	Professional		$110.60	$140.00	$164.70