Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $24.46 / $41.76	Professional		$14.21	$24.46	$41.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $43.78 / $74.01	Professional		$26.33	$43.78	$74.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $33.32 / $44.72	Professional		$21.55	$33.32	$44.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $59.94 / $194.56	Professional		$30.07	$59.94	$194.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $49.01 / $78.44	Professional		$32.76	$49.01	$78.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $33.10 / $33.10	Professional		$33.10	$33.10	$33.10
United Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $47.22 / $80.63	Professional		$28.49	$47.22	$80.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $35.29 / $57.40	Professional		$28.90	$35.29	$57.40