Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $16.76 / $24.43	Professional		$14.41	$16.76	$24.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $37.58 / $83.00	Professional		$14.32	$37.58	$83.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $21.68 / $116.80	Professional		$13.20	$21.68	$116.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $31.40 / $152.63	Professional		$16.92	$31.40	$152.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $38.19 / $93.60	Professional		$25.32	$38.19	$93.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $17.00 / $32.63	Professional		$3.96	$17.00	$32.63
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $25.38 / $43.65	Professional		$16.07	$25.38	$43.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $30.60 / $31.90	Professional		$24.17	$30.60	$31.90