Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $109.65	Professional		$30.20	$38.90	$109.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.90 / $43.65 / $87.10	Professional	52	$38.90	$43.65	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $60.26 / $95.50	Professional		$25.70	$60.26	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $128.82	Professional		$25.12	$37.15	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $93.33	Facility		$29.51	$58.88	$93.33
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	52	$114.82	$114.82	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $204.17	Professional		$37.15	$63.10	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $109.65	Professional		$74.13	$87.10	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $70.79	Professional		$26.30	$40.74	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $77.62	Professional		$30.20	$46.77	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $64.57	Professional		$42.66	$56.23	$64.57