Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $19.95	Professional		$12.88	$15.14	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $24.55 / $39.81	Professional		$12.02	$24.55	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $53.70	Professional		$11.22	$17.38	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.55 / $61.66	Professional		$14.45	$24.55	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $40.74	Professional		$30.20	$37.15	$40.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.44 / $32.36	Professional		$13.18	$23.44	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $34.67	Professional		$13.80	$19.50	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $28.18	Professional		$20.42	$25.70	$28.18