Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $14.65 / $21.39	Professional		$13.39	$14.65	$21.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.70 / $7.33 / $10.70	Professional	52	$6.70	$7.33	$10.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $29.93 / $39.86	Professional		$12.26	$29.93	$39.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.55 / $47.61	Professional		$11.21	$17.55	$47.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $24.42 / $53.86	Professional		$15.43	$24.42	$53.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $33.14 / $40.06	Professional		$23.90	$33.14	$40.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $22.88 / $28.26	Professional		$13.09	$22.88	$28.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $19.64 / $35.11	Professional		$14.55	$19.64	$35.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $25.50 / $26.60	Professional		$20.14	$25.50	$26.60