Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $40.00 / $57.90	Professional		$32.64	$40.00	$57.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.77 / $20.00 / $28.95	Professional	52	$16.77	$20.00	$28.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $71.81 / $109.56	Professional		$34.88	$71.81	$109.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $43.96 / $64.40	Professional		$34.14	$43.96	$64.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $52.77 / $109.56	Professional		$33.42	$52.77	$109.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $83.32 / $109.56	Professional		$42.98	$83.32	$109.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $77.36 / $90.45	Professional		$43.34	$77.36	$90.45
United Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $47.84 / $80.50	Professional		$33.13	$47.84	$80.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $82.30 / $85.60	Professional		$65.02	$82.30	$85.60