Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $43.40 / $53.42	Professional		$35.67	$43.40	$53.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $67.68 / $93.97	Professional		$27.59	$67.68	$93.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $35.86 / $75.44	Professional		$27.05	$35.86	$75.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $47.04 / $216.79	Professional		$32.79	$47.04	$216.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $82.54 / $104.49	Professional		$55.58	$82.54	$104.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $61.46 / $72.08	Professional		$34.43	$61.46	$72.08
United Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $41.42 / $70.62	Professional		$32.79	$41.42	$70.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $70.90 / $83.40	Professional		$70.90	$70.90	$83.40