Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $57.45 / $68.54	Professional		$48.22	$57.45	$68.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $61.13 / $76.41	Professional		$14.25	$61.13	$76.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $90.60 / $99.79	Professional		$76.73	$90.60	$99.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $60.90 / $89.05	Facility		$57.45	$60.90	$89.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $65.30	Professional		$50.00	$50.00	$65.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $137.97 / $146.37	Professional		$130.02	$137.97	$146.37
United Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Professional		$48.00	$48.00	$48.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $48.30 / $48.30	Professional		$38.15	$48.30	$48.30