Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $30.41 / $44.04	Professional		$27.81	$30.41	$44.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $53.86 / $82.45	Professional		$23.84	$53.86	$82.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $32.40 / $45.99	Professional		$24.69	$32.40	$45.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $38.79 / $82.45	Professional		$22.53	$38.79	$82.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $58.80 / $82.45	Professional		$35.00	$58.80	$82.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $36.95 / $62.40	Professional		$31.72	$36.95	$62.40
United Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $38.04 / $64.06	Professional		$24.39	$38.04	$64.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $60.70 / $63.10	Professional		$47.95	$60.70	$63.10