Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $12.77 / $16.32	Professional		$10.37	$12.77	$16.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $30.25 / $37.82	Professional		$14.14	$30.25	$37.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $20.75 / $37.79	Professional		$11.77	$20.75	$37.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $24.00 / $89.59	Professional		$14.03	$24.00	$89.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $28.47 / $45.29	Professional		$23.85	$28.47	$45.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $17.70 / $41.20	Professional		$17.70	$17.70	$41.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $16.18 / $27.35	Professional		$13.37	$16.18	$27.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $22.80 / $26.90	Professional		$18.01	$22.80	$26.90