Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.73 / $80.44	Professional		$75.03	$79.73	$80.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $39.38 / $49.22	Professional		$26.38	$39.38	$49.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $164.22 / $193.20	Professional		$133.88	$164.22	$193.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $84.51 / $106.20	Facility		$79.73	$84.51	$106.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $205.35 / $217.81	Professional		$193.39	$205.35	$217.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $73.20 / $73.20	Professional		$57.83	$73.20	$73.20