Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $60.12 / $74.98	Professional		$19.35	$60.12	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $38.01 / $47.51	Professional		$38.01	$38.01	$47.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $25.29 / $92.53	Professional		$13.92	$25.29	$92.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $20.94 / $83.62	Professional		$11.85	$20.94	$83.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $28.63 / $40.00	Professional		$20.41	$28.63	$40.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $16.94 / $30.10	Professional		$14.18	$16.94	$30.10
United Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $16.14 / $25.38	Professional		$11.33	$16.14	$25.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $30.20 / $35.50	Professional		$23.86	$30.20	$35.50