Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $34.19 / $47.17	Professional		$28.13	$34.19	$47.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.07 / $16.29 / $23.59	Professional	52	$14.07	$16.29	$23.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $59.10 / $90.43	Professional		$27.14	$59.10	$90.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $36.36 / $72.64	Professional		$26.90	$36.36	$72.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.79 / $88.91	Professional		$25.70	$40.79	$88.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $61.59 / $90.43	Professional		$36.04	$61.59	$90.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $64.09 / $74.54	Professional		$35.90	$64.09	$74.54
United Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $39.39 / $66.26	Professional		$25.39	$39.39	$66.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $68.09 / $70.80	Professional		$53.80	$68.09	$70.80