Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $44.02 / $63.71	Professional		$41.80	$44.02	$63.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $75.20 / $115.13	Professional		$35.36	$75.20	$115.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $43.86 / $73.90	Professional		$29.02	$43.86	$73.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $55.41 / $110.75	Professional		$29.32	$55.41	$110.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $88.53 / $115.13	Professional		$39.00	$88.53	$115.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $79.47 / $90.45	Professional		$44.52	$79.47	$90.45
United Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $52.96 / $93.22	Professional		$31.58	$52.96	$93.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $84.50 / $87.90	Professional		$66.76	$84.50	$87.90