Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $35.63 / $60.66	Professional		$21.40	$35.63	$60.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $65.86 / $108.10	Professional		$39.50	$65.86	$108.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $49.26 / $76.44	Professional		$32.53	$49.26	$76.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $88.94 / $280.16	Professional		$44.62	$88.94	$280.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $71.13 / $114.62	Professional		$49.50	$71.13	$114.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $48.30 / $48.30	Professional		$48.30	$48.30	$48.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $68.72 / $119.63	Professional		$42.26	$68.72	$119.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $53.40 / $83.80	Professional		$43.60	$53.40	$83.80