Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.12 / $23.23	Professional		$14.00	$16.12	$23.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $7.84 / $13.40	Professional	TC	$6.61	$7.84	$13.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $40.34 / $54.11	Professional		$20.85	$40.34	$54.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.42 / $20.94 / $31.33	Professional	TC	$10.42	$20.94	$31.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $28.22 / $108.00	Professional		$15.73	$28.22	$108.00
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.67 / $14.17 / $39.26	Professional	TC	$7.67	$14.17	$39.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $31.39 / $206.87	Professional		$17.89	$31.39	$206.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $8.09 / $11.79 / $125.44	Professional	TC	$8.09	$11.79	$125.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $38.33 / $58.90	Professional		$31.04	$38.33	$58.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $15.62 / $30.26	Professional		$8.31	$15.62	$30.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $21.17 / $36.47	Professional		$16.26	$21.17	$36.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.89 / $9.69 / $16.23	Professional	TC	$7.89	$9.69	$16.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $30.30 / $35.60	Professional		$23.94	$30.30	$35.60
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $12.17 / $15.40 / $18.10	Professional	TC	$12.17	$15.40	$18.10