Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $36.31 / $91.20	Professional		$14.13	$36.31	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $109.65	Professional		$28.18	$60.26	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $34.67 / $123.03	Professional		$15.85	$34.67	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $302.00	Professional		$38.90	$74.13	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $109.65	Professional		$44.67	$77.62	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $87.10	Professional		$38.90	$54.95	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $100.00	Professional		$30.20	$58.88	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $100.00	Professional		$28.18	$52.48	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $72.44	Professional		$28.18	$34.67	$72.44