Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $39.07 / $56.56	Professional		$33.53	$39.07	$56.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.77 / $19.54 / $28.28	Professional	52	$16.77	$19.54	$28.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $71.13 / $107.16	Professional		$33.94	$71.13	$107.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $42.75 / $70.47	Professional		$31.29	$42.75	$70.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $49.43 / $106.13	Professional		$30.90	$49.43	$106.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $77.95 / $107.16	Professional		$43.38	$77.95	$107.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $75.23 / $85.61	Professional		$42.15	$75.23	$85.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $47.19 / $79.73	Professional		$28.13	$47.19	$79.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $80.00 / $83.20	Professional		$63.20	$80.00	$83.20