Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $56.23	Professional		$16.98	$23.99	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $56.23	Professional		$18.20	$32.36	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $61.66	Professional		$16.60	$21.88	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $31.62 / $56.23	Facility		$19.05	$31.62	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $141.25	Professional		$22.91	$35.48	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $64.57	Professional		$43.65	$56.23	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $52.48	Professional		$19.05	$33.88	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $45.71	Professional		$21.38	$26.92	$45.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $53.70	Professional		$41.69	$45.71	$53.70