Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $69.18	Professional		$21.88	$25.70	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $66.07 / $83.18	Professional		$33.11	$66.07	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $147.91	Professional		$26.30	$40.74	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $40.74 / $177.83	Professional		$22.39	$40.74	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $74.13	Professional		$44.67	$64.57	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $102.33	Professional		$53.70	$64.57	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $53.70	Professional		$24.55	$27.54	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $77.62	Professional		$22.39	$32.36	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $58.88	Professional		$50.12	$50.12	$58.88