Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $74.13	Professional		$30.20	$42.66	$74.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.88 / $40.74 / $41.69	Professional	52	$21.88	$40.74	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $107.15	Professional		$33.88	$69.18	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $104.71	Professional		$33.11	$43.65	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $107.15	Professional		$29.51	$48.98	$107.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $107.15	Professional		$51.29	$83.18	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $100.00	Professional		$42.66	$75.86	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $79.43	Professional		$28.84	$44.67	$79.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $87.10	Professional		$63.10	$79.43	$87.10