Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $36.56 / $56.00	Professional		$26.89	$36.56	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $74.97 / $101.28	Professional		$42.07	$74.97	$101.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $48.70 / $100.07	Professional		$18.76	$48.70	$100.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $75.61 / $325.02	Professional		$40.03	$75.61	$325.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $69.04 / $100.15	Professional		$40.03	$69.04	$100.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $33.00 / $61.64	Professional		$15.90	$33.00	$61.64
United Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $57.11 / $109.67	Professional		$35.36	$57.11	$109.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $41.50 / $77.80	Professional		$35.29	$41.50	$77.80