Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $40.03 / $53.99	Professional		$18.82	$40.03	$53.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $68.42 / $98.57	Professional		$40.51	$68.42	$98.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $43.49 / $97.60	Professional		$18.26	$43.49	$97.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $74.58 / $336.04	Professional		$37.68	$74.58	$336.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $68.42 / $100.00	Professional		$38.57	$68.42	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $31.62 / $55.75	Professional		$16.60	$31.62	$55.75
United Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $60.00 / $102.22	Professional		$32.97	$60.00	$102.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $40.00 / $71.00	Professional		$34.00	$40.00	$71.00