Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $25.77 / $34.45	Professional		$23.94	$25.77	$34.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $64.38 / $80.48	Professional		$27.02	$64.38	$80.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $36.51 / $145.18	Professional		$26.48	$36.51	$145.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $40.49 / $131.08	Professional		$24.44	$40.49	$131.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $58.34 / $92.82	Professional		$51.54	$58.34	$92.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $37.20 / $49.02	Professional		$24.34	$37.20	$49.02
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $32.39 / $78.05	Professional		$25.46	$32.39	$78.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $50.50 / $59.40	Professional		$39.90	$50.50	$59.40