Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $51.29	Professional		$18.20	$28.18	$51.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.91 / $23.99 / $26.30	Professional	52	$8.91	$23.99	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $44.67 / $69.18	Professional		$21.88	$44.67	$69.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $66.07	Professional		$21.38	$28.18	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $72.44	Professional		$19.50	$30.90	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $69.18	Professional		$34.67	$54.95	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $48.98 / $64.57	Professional		$27.54	$48.98	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $50.12	Professional		$19.05	$27.54	$50.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $56.23	Professional		$40.74	$51.29	$56.23